hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|IL,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",financial_aid_policy,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gibson Area Hospital & Health Services,6/24/2024,2.0.0,Gibson Area Hospital & Health Services,"1120 N Melvin St, Gibson City, IL 60936",836,TRUE,https://www.gibsonhospital.org/services-and-conditions/profile/financial-services,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,code|3,code|3|type,setting,modifiers,standard_charge|gross,standard_charge|discounted_cash,standard_charge|Aetna|negotiated_dollar,estimated_amount|Aetna,standard_charge|Aetna|negotiated_percentage,standard_charge|Aetna|negotiated_algorithm,standard_charge|Aetna|methodology,additional_payer_notes|Aetna,standard_charge|Aetna|Medicare|negotiated_dollar,estimated_amount|Aetna|Medicare,standard_charge|Aetna|Medicare|negotiated_percentage,standard_charge|Aetna|Medicare|negotiated_algorithm,standard_charge|Aetna|Medicare|methodology,additional_payer_notes|Aetna|Medicare,standard_charge|Aetna|Medicaid|negotiated_dollar,estimated_amount|Aetna|Medicaid,standard_charge|Aetna|Medicaid|negotiated_percentage,standard_charge|Aetna|Medicaid|negotiated_algorithm,standard_charge|Aetna|Medicaid|methodology,additional_payer_notes|Aetna|Medicaid,standard_charge|Aetna|Rental_Network|negotiated_dollar,estimated_amount|Aetna|Rental_Network,standard_charge|Aetna|Rental_Network|negotiated_percentage,standard_charge|Aetna|Rental_Network|negotiated_algorithm,standard_charge|Aetna|Rental_Network|methodology,additional_payer_notes|Aetna|Rental_Network,standard_charge|BCBS|PPO|negotiated_dollar,estimated_amount|BCBS|PPO,standard_charge|BCBS|PPO|negotiated_percentage,standard_charge|BCBS|PPO|negotiated_algorithm,standard_charge|BCBS|PPO|methodology,additional_payer_notes|BCBS|PPO,standard_charge|BCBS|Blue_Choice|negotiated_dollar,estimated_amount|BCBS|Blue_Choice,standard_charge|BCBS|Blue_Choice|negotiated_percentage,standard_charge|BCBS|Blue_Choice|negotiated_algorithm,standard_charge|BCBS|Blue_Choice|methodology,additional_payer_notes|BCBS|Blue_Choice,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|negotiated_dollar,estimated_amount|Blue_Cross_Community_Health_Plan|Medicaid,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|negotiated_percentage,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|negotiated_algorithm,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|methodology,additional_payer_notes|Blue_Cross_Community_Health_Plan|Medicaid,standard_charge|Community_Partners_Health_Plans|negotiated_dollar,estimated_amount|Community_Partners_Health_Plans,standard_charge|Community_Partners_Health_Plans|negotiated_percentage,standard_charge|Community_Partners_Health_Plans|negotiated_algorithm,standard_charge|Community_Partners_Health_Plans|methodology,additional_payer_notes|Community_Partners_Health_Plans,standard_charge|Dentaquest|negotiated_dollar,estimated_amount|Dentaquest,standard_charge|Dentaquest|negotiated_percentage,standard_charge|Dentaquest|negotiated_algorithm,standard_charge|Dentaquest|methodology,additional_payer_notes|Dentaquest,standard_charge|Health_Alliance|negotiated_dollar,estimated_amount|Health_Alliance,standard_charge|Health_Alliance|negotiated_percentage,standard_charge|Health_Alliance|negotiated_algorithm,standard_charge|Health_Alliance|methodology,additional_payer_notes|Health_Alliance,standard_charge|Health_Alliance|Medicare_HMO|negotiated_dollar,estimated_amount|Health_Alliance|Medicare_HMO,standard_charge|Health_Alliance|Medicare_HMO|negotiated_percentage,standard_charge|Health_Alliance|Medicare_HMO|negotiated_algorithm,standard_charge|Health_Alliance|Medicare_HMO|methodology,additional_payer_notes|Health_Alliance|Medicare_HMO,standard_charge|Health_Alliance|Medicare_PPO|negotiated_dollar,estimated_amount|Health_Alliance|Medicare_PPO,standard_charge|Health_Alliance|Medicare_PPO|negotiated_percentage,standard_charge|Health_Alliance|Medicare_PPO|negotiated_algorithm,standard_charge|Health_Alliance|Medicare_PPO|methodology,additional_payer_notes|Health_Alliance|Medicare_PPO,standard_charge|HFN_Inc|negotiated_dollar,estimated_amount|HFN_Inc,standard_charge|HFN_Inc|negotiated_percentage,standard_charge|HFN_Inc|negotiated_algorithm,standard_charge|HFN_Inc|methodology,additional_payer_notes|HFN_Inc,standard_charge|HFN_Inc|Workers_Compensation|negotiated_dollar,estimated_amount|HFN_Inc|Workers_Compensation,standard_charge|HFN_Inc|Workers_Compensation|negotiated_percentage,standard_charge|HFN_Inc|Workers_Compensation|negotiated_algorithm,standard_charge|HFN_Inc|Workers_Compensation|methodology,additional_payer_notes|HFN_Inc|Workers_Compensation,standard_charge|HFN_Inc|Supplental_Product|negotiated_dollar,estimated_amount|HFN_Inc|Supplental_Product,standard_charge|HFN_Inc|Supplental_Product|negotiated_percentage,standard_charge|HFN_Inc|Supplental_Product|negotiated_algorithm,standard_charge|HFN_Inc|Supplental_Product|methodology,additional_payer_notes|HFN_Inc|Supplental_Product,standard_charge|Interplan_Health_Group|negotiated_dollar,estimated_amount|Interplan_Health_Group,standard_charge|Interplan_Health_Group|negotiated_percentage,standard_charge|Interplan_Health_Group|negotiated_algorithm,standard_charge|Interplan_Health_Group|methodology,additional_payer_notes|Interplan_Health_Group,standard_charge|Meridian_Health_Plan|negotiated_dollar,estimated_amount|Meridian_Health_Plan,standard_charge|Meridian_Health_Plan|negotiated_percentage,standard_charge|Meridian_Health_Plan|negotiated_algorithm,standard_charge|Meridian_Health_Plan|methodology,additional_payer_notes|Meridian_Health_Plan,standard_charge|Molina|negotiated_dollar,estimated_amount|Molina,standard_charge|Molina|negotiated_percentage,standard_charge|Molina|negotiated_algorithm,standard_charge|Molina|methodology,additional_payer_notes|Molina,standard_charge|Multiplan|negotiated_dollar,estimated_amount|Multiplan,standard_charge|Multiplan|negotiated_percentage,standard_charge|Multiplan|negotiated_algorithm,standard_charge|Multiplan|methodology,additional_payer_notes|Multiplan,standard_charge|NPPN|negotiated_dollar,estimated_amount|NPPN,standard_charge|NPPN|negotiated_percentage,standard_charge|NPPN|negotiated_algorithm,standard_charge|NPPN|methodology,additional_payer_notes|NPPN,standard_charge|Prime_Health_Services|negotiated_dollar,estimated_amount|Prime_Health_Services,standard_charge|Prime_Health_Services|negotiated_percentage,standard_charge|Prime_Health_Services|negotiated_algorithm,standard_charge|Prime_Health_Services|methodology,additional_payer_notes|Prime_Health_Services,standard_charge|SIHO_Network_LLC|negotiated_dollar,estimated_amount|SIHO_Network_LLC,standard_charge|SIHO_Network_LLC|negotiated_percentage,standard_charge|SIHO_Network_LLC|negotiated_algorithm,standard_charge|SIHO_Network_LLC|methodology,additional_payer_notes|SIHO_Network_LLC,standard_charge|Quanex_Employees|negotiated_dollar,estimated_amount|Quanex_Employees,standard_charge|Quanex_Employees|negotiated_percentage,standard_charge|Quanex_Employees|negotiated_algorithm,standard_charge|Quanex_Employees|methodology,additional_payer_notes|Quanex_Employees,standard_charge|Three_Rivers|negotiated_dollar,estimated_amount|Three_Rivers,standard_charge|Three_Rivers|negotiated_percentage,standard_charge|Three_Rivers|negotiated_algorithm,standard_charge|Three_Rivers|methodology,additional_payer_notes|Three_Rivers,standard_charge|United_Healthcare|negotiated_dollar,estimated_amount|United_Healthcare,standard_charge|United_Healthcare|negotiated_percentage,standard_charge|United_Healthcare|negotiated_algorithm,standard_charge|United_Healthcare|methodology,additional_payer_notes|United_Healthcare,standard_charge|min,standard_charge|max,additional_generic_notes
ALS EMERGENCY TRANSPORT,2152019,CDM,A0427,HCPCS,540,RC,inpatient,,3213.64,3213.64,,2728.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2423.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2731.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2828,88,,percent of total billed charges,,193.45,,,,fee schedule,,,2455.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2924.41,91,,percent of total billed charges,,,3052.96,95,,percent of total billed charges,,,2667.32,83,,percent of total billed charges,,,2667.32,83,,percent of total billed charges,,,,,,,,,,,,,,,2667.32,83,,percent of total billed charges,,,3052.96,95,,percent of total billed charges,,,2892.28,90,,percent of total billed charges,,,2892.28,90,,percent of total billed charges,,,2635.18,82,,percent of total billed charges,,,2892.28,90,,percent of total billed charges,,,2731.59,85,,percent of total billed charges,,193.45,3052.96,
ALS EMERGENCY TRANSPORT LEVEL 2,2152020,CDM,A0433,HCPCS,540,RC,inpatient,,3260.19,3260.19,,2767.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2458.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2771.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2868.97,88,,percent of total billed charges,,193.45,,,,fee schedule,,,2490.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2966.77,91,,percent of total billed charges,,,3097.18,95,,percent of total billed charges,,,2705.96,83,,percent of total billed charges,,,2705.96,83,,percent of total billed charges,,,,,,,,,,,,,,,2705.96,83,,percent of total billed charges,,,3097.18,95,,percent of total billed charges,,,2934.17,90,,percent of total billed charges,,,2934.17,90,,percent of total billed charges,,,2673.36,82,,percent of total billed charges,,,2934.17,90,,percent of total billed charges,,,2771.16,85,,percent of total billed charges,,193.45,3097.18,
BLS NON EMERGENCY TRANSPORT,2152027,CDM,A0428,HCPCS,540,RC,inpatient,,2482.91,2482.91,,2107.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1872.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2110.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2184.96,88,,percent of total billed charges,,113.76,,,,fee schedule,,,1896.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2259.45,91,,percent of total billed charges,,,2358.76,95,,percent of total billed charges,,,2060.82,83,,percent of total billed charges,,,2060.82,83,,percent of total billed charges,,,,,,,,,,,,,,,2060.82,83,,percent of total billed charges,,,2358.76,95,,percent of total billed charges,,,2234.62,90,,percent of total billed charges,,,2234.62,90,,percent of total billed charges,,,2035.99,82,,percent of total billed charges,,,2234.62,90,,percent of total billed charges,,,2110.47,85,,percent of total billed charges,,113.76,2358.76,
BLS EMERGENCY TRANSPORT,2152030,CDM,A0429,HCPCS,540,RC,inpatient,,2583.7,2583.7,,2193.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1948.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2196.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2273.66,88,,percent of total billed charges,,113.76,,,,fee schedule,,,1973.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2351.17,91,,percent of total billed charges,,,2454.52,95,,percent of total billed charges,,,2144.47,83,,percent of total billed charges,,,2144.47,83,,percent of total billed charges,,,,,,,,,,,,,,,2144.47,83,,percent of total billed charges,,,2454.52,95,,percent of total billed charges,,,2325.33,90,,percent of total billed charges,,,2325.33,90,,percent of total billed charges,,,2118.63,82,,percent of total billed charges,,,2325.33,90,,percent of total billed charges,,,2196.15,85,,percent of total billed charges,,113.76,2454.52,
ALS EMERGENCY W/SPECIAL SERV,2154023,CDM,A0434,HCPCS,540,RC,inpatient,,3390.58,3390.58,,2878.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,261.04,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2556.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2881.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2983.71,88,,percent of total billed charges,,261.04,,,,fee schedule,,,2590.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,261.04,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3085.43,91,,percent of total billed charges,,,3221.05,95,,percent of total billed charges,,,2814.18,83,,percent of total billed charges,,,2814.18,83,,percent of total billed charges,,,,,,,,,,,,,,,2814.18,83,,percent of total billed charges,,,3221.05,95,,percent of total billed charges,,,3051.52,90,,percent of total billed charges,,,3051.52,90,,percent of total billed charges,,,2780.28,82,,percent of total billed charges,,,3051.52,90,,percent of total billed charges,,,2881.99,85,,percent of total billed charges,,261.04,3221.05,
GROUND MILEAGE,2155012,CDM,A0425,HCPCS,540,RC,inpatient,,47.51,47.51,,40.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,5.6,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.81,88,,percent of total billed charges,,5.6,,,,fee schedule,,,36.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5.6,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.23,91,,percent of total billed charges,,,45.13,95,,percent of total billed charges,,,39.43,83,,percent of total billed charges,,,39.43,83,,percent of total billed charges,,,,,,,,,,,,,,,39.43,83,,percent of total billed charges,,,45.13,95,,percent of total billed charges,,,42.76,90,,percent of total billed charges,,,42.76,90,,percent of total billed charges,,,38.96,82,,percent of total billed charges,,,42.76,90,,percent of total billed charges,,,40.38,85,,percent of total billed charges,,5.6,45.13,
MED-SURG ROOM - LEVEL I,890040,CDM,,,111,RC,inpatient,,2800,2800,,2377.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2111.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2380,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2464,88,,percent of total billed charges,,,,,,,,,2139.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2548,91,,percent of total billed charges,,,2660,95,,percent of total billed charges,,,2324,83,,percent of total billed charges,,,2324,83,,percent of total billed charges,,,,,,,,,,,,,,,2324,83,,percent of total billed charges,,,2660,95,,percent of total billed charges,,,2520,90,,percent of total billed charges,,,2520,90,,percent of total billed charges,,,2296,82,,percent of total billed charges,,,2520,90,,percent of total billed charges,,,2380,85,,percent of total billed charges,,1668,5410.4,
MED-SURG ROOM - LEVEL II,890041,CDM,,,111,RC,inpatient,,3263,3263,,2770.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2460.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2773.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2871.44,88,,percent of total billed charges,,,,,,,,,2492.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2969.33,91,,percent of total billed charges,,,3099.85,95,,percent of total billed charges,,,2708.29,83,,percent of total billed charges,,,2708.29,83,,percent of total billed charges,,,,,,,,,,,,,,,2708.29,83,,percent of total billed charges,,,3099.85,95,,percent of total billed charges,,,2936.7,90,,percent of total billed charges,,,2936.7,90,,percent of total billed charges,,,2675.66,82,,percent of total billed charges,,,2936.7,90,,percent of total billed charges,,,2773.55,85,,percent of total billed charges,,1668,5410.4,
MED-SURG ROOM - LEVEL III,890042,CDM,,,111,RC,inpatient,,4272,4272,,3626.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3221.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3631.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3759.36,88,,percent of total billed charges,,,,,,,,,3263.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3887.52,91,,percent of total billed charges,,,4058.4,95,,percent of total billed charges,,,3545.76,83,,percent of total billed charges,,,3545.76,83,,percent of total billed charges,,,,,,,,,,,,,,,3545.76,83,,percent of total billed charges,,,4058.4,95,,percent of total billed charges,,,3844.8,90,,percent of total billed charges,,,3844.8,90,,percent of total billed charges,,,3503.04,82,,percent of total billed charges,,,3844.8,90,,percent of total billed charges,,,3631.2,85,,percent of total billed charges,,1668,5410.4,
MED-SURG ROOM - LEVEL IV,890043,CDM,,,111,RC,inpatient,,4680,4680,,3973.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3528.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3978,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4118.4,88,,percent of total billed charges,,,,,,,,,3575.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4258.8,91,,percent of total billed charges,,,4446,95,,percent of total billed charges,,,3884.4,83,,percent of total billed charges,,,3884.4,83,,percent of total billed charges,,,,,,,,,,,,,,,3884.4,83,,percent of total billed charges,,,4446,95,,percent of total billed charges,,,4212,90,,percent of total billed charges,,,4212,90,,percent of total billed charges,,,3837.6,82,,percent of total billed charges,,,4212,90,,percent of total billed charges,,,3978,85,,percent of total billed charges,,1668,5410.4,
LONG TERM CARE,890054,CDM,,,111,RC,inpatient,,295,295,,250.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,222.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,250.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,259.6,88,,percent of total billed charges,,,,,,,,,225.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,268.45,91,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,,,,,,,,,,,,,244.85,83,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,241.9,82,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,250.75,85,,percent of total billed charges,,222.43,5410.4,
TREATMENT ROOM - OB,830081,CDM,G0463,HCPCS,510,RC,inpatient,,536,536,,455.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,404.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,455.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,471.68,88,,percent of total billed charges,,,,,,,,,409.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,487.76,91,,percent of total billed charges,,,509.2,95,,percent of total billed charges,,,444.88,83,,percent of total billed charges,,,444.88,83,,percent of total billed charges,,,,,,,,,,,,,,,444.88,83,,percent of total billed charges,,,509.2,95,,percent of total billed charges,,,482.4,90,,percent of total billed charges,,,482.4,90,,percent of total billed charges,,,439.52,82,,percent of total billed charges,,,482.4,90,,percent of total billed charges,,,455.6,85,,percent of total billed charges,,404.14,5410.4,
OB ROOM - LEVEL I,830050,CDM,,,111,RC,inpatient,,2620,2620,,2224.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1975.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2227,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2305.6,88,,percent of total billed charges,,,,,,,,,2001.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2384.2,91,,percent of total billed charges,,,2489,95,,percent of total billed charges,,,2174.6,83,,percent of total billed charges,,,2174.6,83,,percent of total billed charges,,,,,,,,,,,,,,,2174.6,83,,percent of total billed charges,,,2489,95,,percent of total billed charges,,,2358,90,,percent of total billed charges,,,2358,90,,percent of total billed charges,,,2148.4,82,,percent of total billed charges,,,2358,90,,percent of total billed charges,,,2227,85,,percent of total billed charges,,1668,5410.4,
OB ROOM - LEVEL II,830051,CDM,,,111,RC,inpatient,,3028,3028,,2570.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2283.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2573.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2664.64,88,,percent of total billed charges,,,,,,,,,2313.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2755.48,91,,percent of total billed charges,,,2876.6,95,,percent of total billed charges,,,2513.24,83,,percent of total billed charges,,,2513.24,83,,percent of total billed charges,,,,,,,,,,,,,,,2513.24,83,,percent of total billed charges,,,2876.6,95,,percent of total billed charges,,,2725.2,90,,percent of total billed charges,,,2725.2,90,,percent of total billed charges,,,2482.96,82,,percent of total billed charges,,,2725.2,90,,percent of total billed charges,,,2573.8,85,,percent of total billed charges,,1668,5410.4,
OB ROOM - LEVEL III,830052,CDM,,,111,RC,inpatient,,3852,3852,,3270.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2904.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3274.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3389.76,88,,percent of total billed charges,,,,,,,,,2942.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3505.32,91,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,,,,,,,,,,,,,3197.16,83,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3158.64,82,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3274.2,85,,percent of total billed charges,,1668,5410.4,
OB ROOM - LEVEL IV,830053,CDM,,,111,RC,inpatient,,4256,4256,,3613.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3209.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3617.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3745.28,88,,percent of total billed charges,,,,,,,,,3251.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3872.96,91,,percent of total billed charges,,,4043.2,95,,percent of total billed charges,,,3532.48,83,,percent of total billed charges,,,3532.48,83,,percent of total billed charges,,,,,,,,,,,,,,,3532.48,83,,percent of total billed charges,,,4043.2,95,,percent of total billed charges,,,3830.4,90,,percent of total billed charges,,,3830.4,90,,percent of total billed charges,,,3489.92,82,,percent of total billed charges,,,3830.4,90,,percent of total billed charges,,,3617.6,85,,percent of total billed charges,,1668,5410.4,
ORTHO ROOM - LEVEL I,880030,CDM,,,111,RC,inpatient,,2940,2940,,2496.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2216.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2499,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2587.2,88,,percent of total billed charges,,,,,,,,,2246.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2675.4,91,,percent of total billed charges,,,2793,95,,percent of total billed charges,,,2440.2,83,,percent of total billed charges,,,2440.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2440.2,83,,percent of total billed charges,,,2793,95,,percent of total billed charges,,,2646,90,,percent of total billed charges,,,2646,90,,percent of total billed charges,,,2410.8,82,,percent of total billed charges,,,2646,90,,percent of total billed charges,,,2499,85,,percent of total billed charges,,1668,5410.4,
ORTHO ROOM - LEVEL II,880031,CDM,,,111,RC,inpatient,,3426,3426,,2908.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2583.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2912.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3014.88,88,,percent of total billed charges,,,,,,,,,2617.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3117.66,91,,percent of total billed charges,,,3254.7,95,,percent of total billed charges,,,2843.58,83,,percent of total billed charges,,,2843.58,83,,percent of total billed charges,,,,,,,,,,,,,,,2843.58,83,,percent of total billed charges,,,3254.7,95,,percent of total billed charges,,,3083.4,90,,percent of total billed charges,,,3083.4,90,,percent of total billed charges,,,2809.32,82,,percent of total billed charges,,,3083.4,90,,percent of total billed charges,,,2912.1,85,,percent of total billed charges,,1668,5410.4,
ORTHO ROOM - LEVEL III,880032,CDM,,,111,RC,inpatient,,4486,4486,,3808.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3382.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3813.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3947.68,88,,percent of total billed charges,,,,,,,,,3427.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4082.26,91,,percent of total billed charges,,,4261.7,95,,percent of total billed charges,,,3723.38,83,,percent of total billed charges,,,3723.38,83,,percent of total billed charges,,,,,,,,,,,,,,,3723.38,83,,percent of total billed charges,,,4261.7,95,,percent of total billed charges,,,4037.4,90,,percent of total billed charges,,,4037.4,90,,percent of total billed charges,,,3678.52,82,,percent of total billed charges,,,4037.4,90,,percent of total billed charges,,,3813.1,85,,percent of total billed charges,,1668,5410.4,
ORTHO ROOM - LEVEL IV,880033,CDM,,,111,RC,inpatient,,4914,4914,,4171.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3705.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4176.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4324.32,88,,percent of total billed charges,,,,,,,,,3754.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4471.74,91,,percent of total billed charges,,,4668.3,95,,percent of total billed charges,,,4078.62,83,,percent of total billed charges,,,4078.62,83,,percent of total billed charges,,,,,,,,,,,,,,,4078.62,83,,percent of total billed charges,,,4668.3,95,,percent of total billed charges,,,4422.6,90,,percent of total billed charges,,,4422.6,90,,percent of total billed charges,,,4029.48,82,,percent of total billed charges,,,4422.6,90,,percent of total billed charges,,,4176.9,85,,percent of total billed charges,,1668,5410.4,
SEMI-PRIVATE ROOM - LEVEL I,890050,CDM,,,120,RC,inpatient,,2035,2035,,1727.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1534.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1729.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1790.8,88,,percent of total billed charges,,,,,,,,,1554.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1851.85,91,,percent of total billed charges,,,1933.25,95,,percent of total billed charges,,,1689.05,83,,percent of total billed charges,,,1689.05,83,,percent of total billed charges,,,,,,,,,,,,,,,1689.05,83,,percent of total billed charges,,,1933.25,95,,percent of total billed charges,,,1831.5,90,,percent of total billed charges,,,1831.5,90,,percent of total billed charges,,,1668.7,82,,percent of total billed charges,,,1831.5,90,,percent of total billed charges,,,1729.75,85,,percent of total billed charges,,1534.39,5410.4,
SEMI-PRIVATE ROOM - LEVEL II,890051,CDM,,,120,RC,inpatient,,2364,2364,,2007.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1782.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2009.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2080.32,88,,percent of total billed charges,,,,,,,,,1806.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2151.24,91,,percent of total billed charges,,,2245.8,95,,percent of total billed charges,,,1962.12,83,,percent of total billed charges,,,1962.12,83,,percent of total billed charges,,,,,,,,,,,,,,,1962.12,83,,percent of total billed charges,,,2245.8,95,,percent of total billed charges,,,2127.6,90,,percent of total billed charges,,,2127.6,90,,percent of total billed charges,,,1938.48,82,,percent of total billed charges,,,2127.6,90,,percent of total billed charges,,,2009.4,85,,percent of total billed charges,,1668,5410.4,
SEMI-PRIVATE ROOM - LEVEL III,890052,CDM,,,120,RC,inpatient,,3035,3035,,2576.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2288.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2579.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2670.8,88,,percent of total billed charges,,,,,,,,,2318.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2761.85,91,,percent of total billed charges,,,2883.25,95,,percent of total billed charges,,,2519.05,83,,percent of total billed charges,,,2519.05,83,,percent of total billed charges,,,,,,,,,,,,,,,2519.05,83,,percent of total billed charges,,,2883.25,95,,percent of total billed charges,,,2731.5,90,,percent of total billed charges,,,2731.5,90,,percent of total billed charges,,,2488.7,82,,percent of total billed charges,,,2731.5,90,,percent of total billed charges,,,2579.75,85,,percent of total billed charges,,1668,5410.4,
SEMI-PRIVATE ROOM - LEVEL IV,890053,CDM,,,120,RC,inpatient,,3354,3354,,2847.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2528.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2850.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2951.52,88,,percent of total billed charges,,,,,,,,,2562.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3052.14,91,,percent of total billed charges,,,3186.3,95,,percent of total billed charges,,,2783.82,83,,percent of total billed charges,,,2783.82,83,,percent of total billed charges,,,,,,,,,,,,,,,2783.82,83,,percent of total billed charges,,,3186.3,95,,percent of total billed charges,,,3018.6,90,,percent of total billed charges,,,3018.6,90,,percent of total billed charges,,,2750.28,82,,percent of total billed charges,,,3018.6,90,,percent of total billed charges,,,2850.9,85,,percent of total billed charges,,1668,5410.4,
NEWBORN LEVEL I,831100,CDM,,,171,RC,inpatient,,1734,1734,,1472.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1307.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1473.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1525.92,88,,percent of total billed charges,,,,,,,,,1324.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1577.94,91,,percent of total billed charges,,,1647.3,95,,percent of total billed charges,,,1439.22,83,,percent of total billed charges,,,1439.22,83,,percent of total billed charges,,,,,,,,,,,,,,,1439.22,83,,percent of total billed charges,,,1647.3,95,,percent of total billed charges,,,1560.6,90,,percent of total billed charges,,,1560.6,90,,percent of total billed charges,,,1421.88,82,,percent of total billed charges,,,1560.6,90,,percent of total billed charges,,,1473.9,85,,percent of total billed charges,,1307.44,5410.4,
NEWBORN LEVEL II,831101,CDM,,,172,RC,inpatient,,2246,2246,,1906.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1693.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1909.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1976.48,88,,percent of total billed charges,,,,,,,,,1715.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2043.86,91,,percent of total billed charges,,,2133.7,95,,percent of total billed charges,,,1864.18,83,,percent of total billed charges,,,1864.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1864.18,83,,percent of total billed charges,,,2133.7,95,,percent of total billed charges,,,2021.4,90,,percent of total billed charges,,,2021.4,90,,percent of total billed charges,,,1841.72,82,,percent of total billed charges,,,2021.4,90,,percent of total billed charges,,,1909.1,85,,percent of total billed charges,,1668,5410.4,
NEWBORN LEVEL III,831102,CDM,,,173,RC,inpatient,,2882,2882,,2446.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2173.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2449.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2536.16,88,,percent of total billed charges,,,,,,,,,2201.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2622.62,91,,percent of total billed charges,,,2737.9,95,,percent of total billed charges,,,2392.06,83,,percent of total billed charges,,,2392.06,83,,percent of total billed charges,,,,,,,,,,,,,,,2392.06,83,,percent of total billed charges,,,2737.9,95,,percent of total billed charges,,,2593.8,90,,percent of total billed charges,,,2593.8,90,,percent of total billed charges,,,2363.24,82,,percent of total billed charges,,,2593.8,90,,percent of total billed charges,,,2449.7,85,,percent of total billed charges,,1668,5410.4,
NEWBORN LEVEL IV,831103,CDM,,,174,RC,inpatient,,3391,3391,,2878.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2556.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2882.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2984.08,88,,percent of total billed charges,,,,,,,,,2590.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3085.81,91,,percent of total billed charges,,,3221.45,95,,percent of total billed charges,,,2814.53,83,,percent of total billed charges,,,2814.53,83,,percent of total billed charges,,,,,,,,,,,,,,,2814.53,83,,percent of total billed charges,,,3221.45,95,,percent of total billed charges,,,3051.9,90,,percent of total billed charges,,,3051.9,90,,percent of total billed charges,,,2780.62,82,,percent of total billed charges,,,3051.9,90,,percent of total billed charges,,,2882.35,85,,percent of total billed charges,,1668,5410.4,
DELIVERY LEVEL I,831051,CDM,,,722,RC,inpatient,,2502,2502,,2124.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1886.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2126.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2201.76,88,,percent of total billed charges,,,,,,,,,1911.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2276.82,91,,percent of total billed charges,,,2376.9,95,,percent of total billed charges,,,2076.66,83,,percent of total billed charges,,,2076.66,83,,percent of total billed charges,,,,,,,,,,,,,,,2076.66,83,,percent of total billed charges,,,2376.9,95,,percent of total billed charges,,,2251.8,90,,percent of total billed charges,,,2251.8,90,,percent of total billed charges,,,2051.64,82,,percent of total billed charges,,,2251.8,90,,percent of total billed charges,,,2126.7,85,,percent of total billed charges,,1668,5410.4,
DELIVERY LEVEL II,831052,CDM,,,722,RC,inpatient,,3708,3708,,3148.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2795.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3151.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3263.04,88,,percent of total billed charges,,,,,,,,,2832.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3374.28,91,,percent of total billed charges,,,3522.6,95,,percent of total billed charges,,,3077.64,83,,percent of total billed charges,,,3077.64,83,,percent of total billed charges,,,,,,,,,,,,,,,3077.64,83,,percent of total billed charges,,,3522.6,95,,percent of total billed charges,,,3337.2,90,,percent of total billed charges,,,3337.2,90,,percent of total billed charges,,,3040.56,82,,percent of total billed charges,,,3337.2,90,,percent of total billed charges,,,3151.8,85,,percent of total billed charges,,1668,5410.4,
EPIDURAL INJECTION,18601004,CDM,,,360,RC,inpatient,,9809,9809,,8327.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7395.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8337.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8631.92,88,,percent of total billed charges,,,,,,,,,7494.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8926.19,91,,percent of total billed charges,,,9318.55,95,,percent of total billed charges,,,8141.47,83,,percent of total billed charges,,,8141.47,83,,percent of total billed charges,,,,,,,,,,,,,,,8141.47,83,,percent of total billed charges,,,9318.55,95,,percent of total billed charges,,,8828.1,90,,percent of total billed charges,,,8828.1,90,,percent of total billed charges,,,8043.38,82,,percent of total billed charges,,,8828.1,90,,percent of total billed charges,,,8337.65,85,,percent of total billed charges,,7395.99,9318.55,
INJN TRT OF NERVE CRYOANALGESIA LT KNEE,18601005,CDM,64640,CPT,360,RC,inpatient,LT,3932,3932,,3338.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2964.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3342.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3460.16,88,,percent of total billed charges,,,,,,,,,3004.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3578.12,91,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,,,,,,,,,,,,,3263.56,83,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3224.24,82,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3342.2,85,,percent of total billed charges,,2964.73,3735.4,
INJN TRT OF NERVE CRYOANALGESIA RT KNEE,18601006,CDM,64640,CPT,360,RC,inpatient,RT,3932,3932,,3338.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2964.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3342.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3460.16,88,,percent of total billed charges,,,,,,,,,3004.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3578.12,91,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,,,,,,,,,,,,,3263.56,83,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3224.24,82,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3342.2,85,,percent of total billed charges,,2964.73,3735.4,
ARTERIAL CATHERT PERCUTANEOUS,33036620,CDM,36620,CPT,360,RC,inpatient,,1682,1682,,1428.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1268.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1429.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1480.16,88,,percent of total billed charges,,,,,,,,,1285.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1530.62,91,,percent of total billed charges,,,1597.9,95,,percent of total billed charges,,,1396.06,83,,percent of total billed charges,,,1396.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1396.06,83,,percent of total billed charges,,,1597.9,95,,percent of total billed charges,,,1513.8,90,,percent of total billed charges,,,1513.8,90,,percent of total billed charges,,,1379.24,82,,percent of total billed charges,,,1513.8,90,,percent of total billed charges,,,1429.7,85,,percent of total billed charges,,1268.23,1597.9,
BRACHIAL PLEXUS CONT INFUS BY CATHETER,33602061,CDM,64416,CPT,360,RC,inpatient,,1139,1139,,967.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,858.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,968.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1002.32,88,,percent of total billed charges,,,,,,,,,870.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1036.49,91,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,,,,,,,,,,,,,945.37,83,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,933.98,82,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,968.15,85,,percent of total billed charges,,858.81,1082.05,
NERVE BLOCK INJ PUDENDAL,33602064,CDM,64430,CPT,360,RC,inpatient,,2098,2098,,1781.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1581.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1783.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1846.24,88,,percent of total billed charges,,,,,,,,,1602.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1909.18,91,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1741.34,83,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1720.36,82,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1783.3,85,,percent of total billed charges,,1581.89,1993.1,
SCIATIC NERVE CONT INFUS BY CATHETER,33602066,CDM,64446,CPT,360,RC,inpatient,,1139,1139,,967.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,858.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,968.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1002.32,88,,percent of total billed charges,,,,,,,,,870.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1036.49,91,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,,,,,,,,,,,,,945.37,83,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,933.98,82,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,968.15,85,,percent of total billed charges,,858.81,1082.05,
INJ ANESTHETIC AGENT FEMORAL NERVE,33602067,CDM,64447,CPT,360,RC,inpatient,,1818,1818,,1543.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1370.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1545.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1599.84,88,,percent of total billed charges,,,,,,,,,1388.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1654.38,91,,percent of total billed charges,,,1727.1,95,,percent of total billed charges,,,1508.94,83,,percent of total billed charges,,,1508.94,83,,percent of total billed charges,,,,,,,,,,,,,,,1508.94,83,,percent of total billed charges,,,1727.1,95,,percent of total billed charges,,,1636.2,90,,percent of total billed charges,,,1636.2,90,,percent of total billed charges,,,1490.76,82,,percent of total billed charges,,,1636.2,90,,percent of total billed charges,,,1545.3,85,,percent of total billed charges,,1370.77,1727.1,
FEMORAL NERVE CONT INFUS BY CATHETER,33602068,CDM,64448,CPT,360,RC,inpatient,,8930,8930,,7581.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6733.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7590.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7858.4,88,,percent of total billed charges,,,,,,,,,6822.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8126.3,91,,percent of total billed charges,,,8483.5,95,,percent of total billed charges,,,7411.9,83,,percent of total billed charges,,,7411.9,83,,percent of total billed charges,,,,,,,,,,,,,,,7411.9,83,,percent of total billed charges,,,8483.5,95,,percent of total billed charges,,,8037,90,,percent of total billed charges,,,8037,90,,percent of total billed charges,,,7322.6,82,,percent of total billed charges,,,8037,90,,percent of total billed charges,,,7590.5,85,,percent of total billed charges,,6733.22,8483.5,
LUMBAR PLEXUS POST APPR CONT INF CATHETR,33602069,CDM,64449,CPT,360,RC,inpatient,,1913,1913,,1624.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1442.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1626.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1683.44,88,,percent of total billed charges,,,,,,,,,1461.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1740.83,91,,percent of total billed charges,,,1817.35,95,,percent of total billed charges,,,1587.79,83,,percent of total billed charges,,,1587.79,83,,percent of total billed charges,,,,,,,,,,,,,,,1587.79,83,,percent of total billed charges,,,1817.35,95,,percent of total billed charges,,,1721.7,90,,percent of total billed charges,,,1721.7,90,,percent of total billed charges,,,1568.66,82,,percent of total billed charges,,,1721.7,90,,percent of total billed charges,,,1626.05,85,,percent of total billed charges,,1442.4,1817.35,
INSERT NON-TUNNEL CV CATH,33636556,CDM,36556,CPT,360,RC,inpatient,,3536,3536,,3002.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2666.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3005.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3111.68,88,,percent of total billed charges,,,,,,,,,2701.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3217.76,91,,percent of total billed charges,,,3359.2,95,,percent of total billed charges,,,2934.88,83,,percent of total billed charges,,,2934.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2934.88,83,,percent of total billed charges,,,3359.2,95,,percent of total billed charges,,,3182.4,90,,percent of total billed charges,,,3182.4,90,,percent of total billed charges,,,2899.52,82,,percent of total billed charges,,,3182.4,90,,percent of total billed charges,,,3005.6,85,,percent of total billed charges,,2666.14,3359.2,
INJ ANESTHESIA INTERLAMINAR CRV/THRC,33662321,CDM,62321,CPT,360,RC,inpatient,,3822,3822,,3244.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2881.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3248.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3363.36,88,,percent of total billed charges,,,,,,,,,2920.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3478.02,91,,percent of total billed charges,,,3630.9,95,,percent of total billed charges,,,3172.26,83,,percent of total billed charges,,,3172.26,83,,percent of total billed charges,,,,,,,,,,,,,,,3172.26,83,,percent of total billed charges,,,3630.9,95,,percent of total billed charges,,,3439.8,90,,percent of total billed charges,,,3439.8,90,,percent of total billed charges,,,3134.04,82,,percent of total billed charges,,,3439.8,90,,percent of total billed charges,,,3248.7,85,,percent of total billed charges,,2881.79,3630.9,
INJ ANESTHESIA BRACHIAL PLEXUS SINGLE,33664415,CDM,64415,CPT,360,RC,inpatient,,2179,2179,,1849.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1642.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1852.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1917.52,88,,percent of total billed charges,,,,,,,,,1664.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1982.89,91,,percent of total billed charges,,,2070.05,95,,percent of total billed charges,,,1808.57,83,,percent of total billed charges,,,1808.57,83,,percent of total billed charges,,,,,,,,,,,,,,,1808.57,83,,percent of total billed charges,,,2070.05,95,,percent of total billed charges,,,1961.1,90,,percent of total billed charges,,,1961.1,90,,percent of total billed charges,,,1786.78,82,,percent of total billed charges,,,1961.1,90,,percent of total billed charges,,,1852.15,85,,percent of total billed charges,,1642.97,2070.05,
INJECTION ANESTH SCIATIC SINGLE,33664445,CDM,64445,CPT,360,RC,inpatient,,2099,2099,,1782.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1582.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1784.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1847.12,88,,percent of total billed charges,,,,,,,,,1603.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1910.09,91,,percent of total billed charges,,,1994.05,95,,percent of total billed charges,,,1742.17,83,,percent of total billed charges,,,1742.17,83,,percent of total billed charges,,,,,,,,,,,,,,,1742.17,83,,percent of total billed charges,,,1994.05,95,,percent of total billed charges,,,1889.1,90,,percent of total billed charges,,,1889.1,90,,percent of total billed charges,,,1721.18,82,,percent of total billed charges,,,1889.1,90,,percent of total billed charges,,,1784.15,85,,percent of total billed charges,,1582.65,1994.05,
INJECTION ANESTH FEMORAL SINGLE,33664447,CDM,64447,CPT,360,RC,inpatient,,1139,1139,,967.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,858.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,968.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1002.32,88,,percent of total billed charges,,,,,,,,,870.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1036.49,91,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,,,,,,,,,,,,,945.37,83,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,933.98,82,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,968.15,85,,percent of total billed charges,,858.81,1082.05,
INJ ANESTH AGENT OTHER PERPHL BRANCH,33664450,CDM,64450,CPT,360,RC,inpatient,,3005,3005,,2551.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2265.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2554.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2644.4,88,,percent of total billed charges,,,,,,,,,2295.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2734.55,91,,percent of total billed charges,,,2854.75,95,,percent of total billed charges,,,2494.15,83,,percent of total billed charges,,,2494.15,83,,percent of total billed charges,,,,,,,,,,,,,,,2494.15,83,,percent of total billed charges,,,2854.75,95,,percent of total billed charges,,,2704.5,90,,percent of total billed charges,,,2704.5,90,,percent of total billed charges,,,2464.1,82,,percent of total billed charges,,,2704.5,90,,percent of total billed charges,,,2554.25,85,,percent of total billed charges,,2265.77,2854.75,
TAP BLOCK UNILATERAL BY INJECTION,33664486,CDM,64486,CPT,360,RC,inpatient,,3210,3210,,2725.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2420.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2728.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2824.8,88,,percent of total billed charges,,,,,,,,,2452.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2921.1,91,,percent of total billed charges,,,3049.5,95,,percent of total billed charges,,,2664.3,83,,percent of total billed charges,,,2664.3,83,,percent of total billed charges,,,,,,,,,,,,,,,2664.3,83,,percent of total billed charges,,,3049.5,95,,percent of total billed charges,,,2889,90,,percent of total billed charges,,,2889,90,,percent of total billed charges,,,2632.2,82,,percent of total billed charges,,,2889,90,,percent of total billed charges,,,2728.5,85,,percent of total billed charges,,2420.34,3049.5,
US VESSEL ACCESS REQ US,33676937,CDM,76937,CPT,370,RC,inpatient,,939,939,,797.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,708.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,798.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,826.32,88,,percent of total billed charges,,,,,,,,,717.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,854.49,91,,percent of total billed charges,,,892.05,95,,percent of total billed charges,,,779.37,83,,percent of total billed charges,,,779.37,83,,percent of total billed charges,,,,,,,,,,,,,,,779.37,83,,percent of total billed charges,,,892.05,95,,percent of total billed charges,,,845.1,90,,percent of total billed charges,,,845.1,90,,percent of total billed charges,,,769.98,82,,percent of total billed charges,,,845.1,90,,percent of total billed charges,,,798.15,85,,percent of total billed charges,,708.01,892.05,
UL NDL PLCMNT US GUIDANCE,33676942,CDM,76942,CPT,402,RC,inpatient,TC,1569,1569,,1332.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1183.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1333.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1380.72,88,,percent of total billed charges,,,,,,,,,1198.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1427.79,91,,percent of total billed charges,,,1490.55,95,,percent of total billed charges,,,1302.27,83,,percent of total billed charges,,,1302.27,83,,percent of total billed charges,,,,,,,,,,,,,,,1302.27,83,,percent of total billed charges,,,1490.55,95,,percent of total billed charges,,,1412.1,90,,percent of total billed charges,,,1412.1,90,,percent of total billed charges,,,1286.58,82,,percent of total billed charges,,,1412.1,90,,percent of total billed charges,,,1333.65,85,,percent of total billed charges,,1183.03,1490.55,
INJECTION ANESTHETIC AXILLARY NERVE,33700000,CDM,64417,CPT,360,RC,inpatient,,1749,1749,,1484.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1318.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1486.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1539.12,88,,percent of total billed charges,,,,,,,,,1336.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1591.59,91,,percent of total billed charges,,,1661.55,95,,percent of total billed charges,,,1451.67,83,,percent of total billed charges,,,1451.67,83,,percent of total billed charges,,,,,,,,,,,,,,,1451.67,83,,percent of total billed charges,,,1661.55,95,,percent of total billed charges,,,1574.1,90,,percent of total billed charges,,,1574.1,90,,percent of total billed charges,,,1434.18,82,,percent of total billed charges,,,1574.1,90,,percent of total billed charges,,,1486.65,85,,percent of total billed charges,,1318.75,1661.55,
LABOR EPIDURAL/ITN,33700015,CDM,1967,CPT,964,RC,inpatient,QZ,2270,2270,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
"ARTERIAL CATHETERIZATION TRANSF, SAMPLE",33700020,CDM,36620,CPT,360,RC,inpatient,,530,530,,449.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466.4,88,,percent of total billed charges,,,,,,,,,404.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,482.3,91,,percent of total billed charges,,,503.5,95,,percent of total billed charges,,,439.9,83,,percent of total billed charges,,,439.9,83,,percent of total billed charges,,,,,,,,,,,,,,,439.9,83,,percent of total billed charges,,,503.5,95,,percent of total billed charges,,,477,90,,percent of total billed charges,,,477,90,,percent of total billed charges,,,434.6,82,,percent of total billed charges,,,477,90,,percent of total billed charges,,,450.5,85,,percent of total billed charges,,399.62,503.5,
ANESTHESIA CHG UNIT CPT 00100,33700100,CDM,100,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00102,33700102,CDM,102,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00103,33700103,CDM,103,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00104,33700104,CDM,104,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00120,33700120,CDM,120,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00124,33700124,CDM,124,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00126,33700126,CDM,126,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00140,33700140,CDM,140,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00142,33700142,CDM,142,CPT,964,RC,inpatient,QZ,384,384,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00144,33700144,CDM,144,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00145,33700145,CDM,145,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00160,33700160,CDM,160,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00162,33700162,CDM,162,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00164,33700164,CDM,164,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00170,33700170,CDM,170,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00172,33700172,CDM,172,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00174,33700174,CDM,174,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00176,33700176,CDM,176,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00190,33700190,CDM,190,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00192,33700192,CDM,192,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00210,33700210,CDM,210,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00212,33700212,CDM,212,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00214,33700214,CDM,214,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00215,33700215,CDM,215,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00216,33700216,CDM,216,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00218,33700218,CDM,218,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00220,33700220,CDM,220,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00222,33700222,CDM,222,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00300,33700300,CDM,300,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00320QZ,33700320,CDM,320,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00322,33700322,CDM,322,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00350,33700350,CDM,350,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00352,33700352,CDM,352,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00400,33700400,CDM,400,CPT,964,RC,inpatient,QZ,431,431,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00402,33700402,CDM,402,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00404,33700404,CDM,404,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00406,33700406,CDM,406,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00410,33700410,CDM,410,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00450,33700450,CDM,450,CPT,964,RC,inpatient,,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00452,33700452,CDM,452,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00454,33700454,CDM,454,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00470,33700470,CDM,470,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00472,33700472,CDM,472,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00474,33700474,CDM,474,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00500,33700500,CDM,500,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00520,33700520,CDM,520,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00522,33700522,CDM,522,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00524,33700524,CDM,524,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00528,33700528,CDM,528,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00530,33700530,CDM,530,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00532,33700532,CDM,532,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00537,33700537,CDM,537,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00540,33700540,CDM,540,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00542,33700542,CDM,542,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00546,33700546,CDM,546,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00548,33700548,CDM,548,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00600,33700600,CDM,600,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00604,33700604,CDM,604,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00620,33700620,CDM,620,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00622,33700622,CDM,622,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00630,33700630,CDM,630,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00632,33700632,CDM,632,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00634,33700634,CDM,634,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
DX LUMBAR PUNCTURE,33700635,CDM,635,CPT,964,RC,inpatient,QZ,636,636,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
"ANESTH, MANIPULATION CHG UNIT CPT 00640",33700640,CDM,640,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00670,33700670,CDM,670,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00700,33700700,CDM,700,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00702,33700702,CDM,702,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00730,33700730,CDM,730,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00740,33700740,CDM,731,CPT,964,RC,inpatient,QZ,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00750,33700750,CDM,750,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00752,33700752,CDM,752,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00754,33700754,CDM,754,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00756,33700756,CDM,756,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00770,33700770,CDM,770,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00790,33700790,CDM,790,CPT,964,RC,inpatient,QZ,498,498,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00792,33700792,CDM,792,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00794,33700794,CDM,794,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00800,33700800,CDM,800,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00802,33700802,CDM,802,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00810,33700810,CDM,811,CPT,964,RC,inpatient,QZ,498,498,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00820,33700820,CDM,820,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00830,33700830,CDM,830,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00832,33700832,CDM,832,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00840,33700840,CDM,840,CPT,964,RC,inpatient,QZ,459,459,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00842,33700842,CDM,842,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00844,33700844,CDM,844,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00846,33700846,CDM,846,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00848,33700848,CDM,848,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00851,33700851,CDM,851,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00860,33700860,CDM,860,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00862,33700862,CDM,862,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00864,33700864,CDM,864,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00866,33700866,CDM,866,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00870,33700870,CDM,870,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00872,33700872,CDM,872,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00873,33700873,CDM,873,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00880,33700880,CDM,880,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00882,33700882,CDM,882,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00902,33700902,CDM,902,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00904,33700904,CDM,904,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00906,33700906,CDM,906,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00908,33700908,CDM,908,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00910,33700910,CDM,910,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00912,33700912,CDM,912,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00914,33700914,CDM,914,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00916,33700916,CDM,916,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00918,33700918,CDM,918,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00920,33700920,CDM,920,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00921,33700921,CDM,921,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00922,33700922,CDM,922,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00924,33700924,CDM,924,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00926,33700926,CDM,926,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00928,33700928,CDM,928,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00930,33700930,CDM,930,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00932,33700932,CDM,932,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00934,33700934,CDM,934,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00936,33700936,CDM,936,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00938,33700938,CDM,938,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00940,33700940,CDM,940,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00942,33700942,CDM,942,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00944,33700944,CDM,944,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00948,33700948,CDM,948,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00950,33700950,CDM,950,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00952,33700952,CDM,952,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00100,33701100,CDM,100,CPT,964,RC,inpatient,,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01112,33701110,CDM,1112,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01120,33701120,CDM,1120,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01130,33701130,CDM,1130,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01140,33701140,CDM,1140,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01150,33701150,CDM,1150,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01160,33701160,CDM,1160,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01170,33701170,CDM,1170,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01180,33701180,CDM,1180,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01190,33701190,CDM,1190,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01200,33701200,CDM,1200,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01202,33701202,CDM,1202,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01210,33701210,CDM,1210,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01212,33701212,CDM,1212,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01214,33701214,CDM,1214,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01215,33701215,CDM,1215,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01220,33701220,CDM,1220,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01230,33701230,CDM,1230,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01232,33701232,CDM,1232,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01234,33701234,CDM,1234,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01250,33701250,CDM,1250,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01260,33701260,CDM,1260,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01270,33701270,CDM,1270,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01272,33701272,CDM,1272,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01274,33701274,CDM,1274,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01320,33701320,CDM,1320,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01340,33701340,CDM,1340,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01360,33701360,CDM,1360,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01380,33701380,CDM,1380,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01382,33701382,CDM,1382,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01390,33701390,CDM,1390,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01392,33701392,CDM,1392,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01400,33701400,CDM,1400,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01402,33701402,CDM,1402,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01404,33701404,CDM,1404,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01420,33701420,CDM,1420,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01430,33701430,CDM,1430,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01432,33701432,CDM,1432,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01440,33701440,CDM,1440,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01442,33701442,CDM,1442,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01444,33701444,CDM,1444,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01462,33701462,CDM,1462,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01464,33701464,CDM,1464,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01470,33701470,CDM,1470,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01472,33701472,CDM,1472,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01474,33701474,CDM,1474,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01480,33701480,CDM,1480,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01482,33701482,CDM,1482,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01484,33701484,CDM,1484,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01486,33701486,CDM,1486,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01490,33701490,CDM,1490,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01500,33701500,CDM,1500,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01502,33701502,CDM,1502,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01520,33701520,CDM,1520,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01522,33701522,CDM,1522,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01610,33701610,CDM,1610,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01620,33701620,CDM,1620,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01622,33701622,CDM,1622,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01630,33701630,CDM,1630,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01634,33701634,CDM,1634,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01636,33701636,CDM,1636,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01638,33701638,CDM,1638,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01650,33701650,CDM,1650,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01652,33701652,CDM,1652,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01654,33701654,CDM,1654,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01656,33701656,CDM,1656,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01670,33701670,CDM,1670,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01680,33701680,CDM,1680,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01682,33701682,CDM,1682,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01710,33701710,CDM,1710,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01712,33701712,CDM,1712,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01714,33701714,CDM,1714,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01716,33701716,CDM,1716,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01730,33701730,CDM,1730,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01732,33701732,CDM,1732,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01740,33701740,CDM,1740,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01742,33701742,CDM,1742,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01744,33701744,CDM,1744,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01756,33701756,CDM,1756,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01758,33701758,CDM,1758,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01760,33701760,CDM,1760,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01770,33701770,CDM,1770,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01772,33701772,CDM,1772,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01780,33701780,CDM,1780,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01782,33701782,CDM,1782,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01810,33701810,CDM,1810,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01820,33701820,CDM,1820,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01830,33701830,CDM,1830,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01832,33701832,CDM,1832,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01840,33701840,CDM,1840,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01842,33701842,CDM,1842,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01844,33701844,CDM,1844,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01850,33701850,CDM,1850,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01852,33701852,CDM,1852,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01860,33701860,CDM,1860,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01916,33701916,CDM,1916,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01920,33701920,CDM,1920,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01922,33701922,CDM,1922,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01924,33701924,CDM,1924,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01926,33701926,CDM,1926,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01930,33701930,CDM,1930,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01935 DIAGNOSTIC,33701935,CDM,1937,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01936 THERAPUTIC,33701936,CDM,1938,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT 01958,33701958,CDM,1958,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01961,33701961,CDM,1961,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01963,33701963,CDM,1963,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA MISSED OR INCOMPLETE AB,33701965,CDM,1965,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHARGE UNIT 01966,33701966,CDM,1966,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA LABOR EPIDURAL UNIT 01967,33701967,CDM,1967,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHARGE UNIT 01968,33701968,CDM,1968,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01990,33701990,CDM,1990,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA NERVE BLK OTHER THAN PRONE,33701991,CDM,1991,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA NERVE BLOCK PRONE,33701992,CDM,1992,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01992,33701994,CDM,1992,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHARGE UNIT 01996,33701996,CDM,1996,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
CATH UMBILICAL ARTERYNEWB DIAG THER,33736660,CDM,36660,CPT,361,RC,inpatient,,590,590,,500.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,444.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,501.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,519.2,88,,percent of total billed charges,,,,,,,,,450.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,536.9,91,,percent of total billed charges,,,560.5,95,,percent of total billed charges,,,489.7,83,,percent of total billed charges,,,489.7,83,,percent of total billed charges,,,,,,,,,,,,,,,489.7,83,,percent of total billed charges,,,560.5,95,,percent of total billed charges,,,531,90,,percent of total billed charges,,,531,90,,percent of total billed charges,,,483.8,82,,percent of total billed charges,,,531,90,,percent of total billed charges,,,501.5,85,,percent of total billed charges,,444.86,560.5,
EPIDURAL BLOOD PATCH,33762273,CDM,62273,CPT,360,RC,inpatient,,2398,2398,,2035.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1808.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2038.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2110.24,88,,percent of total billed charges,,,,,,,,,1832.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2182.18,91,,percent of total billed charges,,,2278.1,95,,percent of total billed charges,,,1990.34,83,,percent of total billed charges,,,1990.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1990.34,83,,percent of total billed charges,,,2278.1,95,,percent of total billed charges,,,2158.2,90,,percent of total billed charges,,,2158.2,90,,percent of total billed charges,,,1966.36,82,,percent of total billed charges,,,2158.2,90,,percent of total billed charges,,,2038.3,85,,percent of total billed charges,,1808.09,2278.1,
ESI LUMBAR EPIDURAL,33762311,CDM,62322,CPT,360,RC,inpatient,TC,7269,7269,,6171.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5480.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6178.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6396.72,88,,percent of total billed charges,,,,,,,,,5553.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6614.79,91,,percent of total billed charges,,,6905.55,95,,percent of total billed charges,,,6033.27,83,,percent of total billed charges,,,6033.27,83,,percent of total billed charges,,,,,,,,,,,,,,,6033.27,83,,percent of total billed charges,,,6905.55,95,,percent of total billed charges,,,6542.1,90,,percent of total billed charges,,,6542.1,90,,percent of total billed charges,,,5960.58,82,,percent of total billed charges,,,6542.1,90,,percent of total billed charges,,,6178.65,85,,percent of total billed charges,,5480.83,6905.55,
LUMBAR SURGICAL EPIDURAL,33762319,CDM,62326,CPT,360,RC,inpatient,,5334,5334,,4528.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4021.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4533.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4693.92,88,,percent of total billed charges,,,,,,,,,4075.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4853.94,91,,percent of total billed charges,,,5067.3,95,,percent of total billed charges,,,4427.22,83,,percent of total billed charges,,,4427.22,83,,percent of total billed charges,,,,,,,,,,,,,,,4427.22,83,,percent of total billed charges,,,5067.3,95,,percent of total billed charges,,,4800.6,90,,percent of total billed charges,,,4800.6,90,,percent of total billed charges,,,4373.88,82,,percent of total billed charges,,,4800.6,90,,percent of total billed charges,,,4533.9,85,,percent of total billed charges,,4021.84,5067.3,
INTERCOSTAL NERVE BLOCK,33764421,CDM,64421,CPT,360,RC,inpatient,,2924,2924,,2482.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2204.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2485.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2573.12,88,,percent of total billed charges,,,,,,,,,2233.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2660.84,91,,percent of total billed charges,,,2777.8,95,,percent of total billed charges,,,2426.92,83,,percent of total billed charges,,,2426.92,83,,percent of total billed charges,,,,,,,,,,,,,,,2426.92,83,,percent of total billed charges,,,2777.8,95,,percent of total billed charges,,,2631.6,90,,percent of total billed charges,,,2631.6,90,,percent of total billed charges,,,2397.68,82,,percent of total billed charges,,,2631.6,90,,percent of total billed charges,,,2485.4,85,,percent of total billed charges,,2204.7,2777.8,
ANESTHESIA PREP SET UP,33771234,CDM,,,370,RC,inpatient,,523,523,,444.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,394.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,444.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,460.24,88,,percent of total billed charges,,,,,,,,,399.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,475.93,91,,percent of total billed charges,,,496.85,95,,percent of total billed charges,,,434.09,83,,percent of total billed charges,,,434.09,83,,percent of total billed charges,,,,,,,,,,,,,,,434.09,83,,percent of total billed charges,,,496.85,95,,percent of total billed charges,,,470.7,90,,percent of total billed charges,,,470.7,90,,percent of total billed charges,,,428.86,82,,percent of total billed charges,,,470.7,90,,percent of total billed charges,,,444.55,85,,percent of total billed charges,,394.34,496.85,
ANESTHESIA CHG UNIT CPT 93312,33793312,CDM,1922,CPT,964,RC,inpatient,QZ,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00103,33800103,CDM,103,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00126,33800126,CDM,126,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00142,33800142,CDM,142,CPT,963,RC,inpatient,AA,384,384,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00160,33800160,CDM,160,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00170,33800170,CDM,170,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00300,33800300,CDM,300,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00322,33800322,CDM,322,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00400,33800400,CDM,400,CPT,963,RC,inpatient,AA,431,431,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00402,33800402,CDM,402,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00404,33800404,CDM,404,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00410,33800410,CDM,410,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00450,33800450,CDM,450,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00520,33800520,CDM,520,CPT,964,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00524,33800524,CDM,524,CPT,964,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00530,33800530,CDM,530,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00532,33800532,CDM,532,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00600,33800600,CDM,600,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00620,33800620,CDM,620,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00630,33800630,CDM,630,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00670,33800670,CDM,670,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00702,33800702,CDM,702,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00740,33800740,CDM,731,CPT,963,RC,inpatient,AA,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00752,33800752,CDM,752,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00790,33800790,CDM,790,CPT,963,RC,inpatient,AA,416,416,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00800,33800800,CDM,800,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00810,33800810,CDM,811,CPT,963,RC,inpatient,AA,498,498,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00830,33800830,CDM,830,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00832,33800832,CDM,832,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00840,33800840,CDM,840,CPT,963,RC,inpatient,AA,459,459,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00851,33800851,CDM,851,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00860,33800860,CDM,860,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00873,33800873,CDM,873,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00902,33800902,CDM,902,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00910,33800910,CDM,910,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00912,33800912,CDM,912,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00914,33800914,CDM,914,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00918,33800918,CDM,918,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00920,33800920,CDM,920,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00942,33800942,CDM,942,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00944,33800944,CDM,944,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 00952,33800952,CDM,952,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01112,33801110,CDM,1112,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01200,33801200,CDM,1200,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01210,33801210,CDM,1210,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01214,33801214,CDM,1214,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01215,33801215,CDM,1215,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01232,33801232,CDM,1232,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01320,33801320,CDM,1320,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01360,33801360,CDM,1360,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01380,33801380,CDM,1380,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01382,33801382,CDM,1382,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01390,33801390,CDM,1390,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01392,33801392,CDM,1392,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01400,33801400,CDM,1400,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01402,33801402,CDM,1402,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01462,33801462,CDM,1462,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01470,33801470,CDM,1470,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01472,33801472,CDM,1472,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01480,33801480,CDM,1480,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01610,33801610,CDM,1610,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01620,33801620,CDM,1620,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01630,33801630,CDM,1630,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01638,33801638,CDM,1638,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01710,33801710,CDM,1710,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01730,33801730,CDM,1730,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01740,33801740,CDM,1740,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01770,33801770,CDM,1770,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01810,33801810,CDM,1810,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01820,33801820,CDM,1820,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01830,33801830,CDM,1830,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01916,33801916,CDM,1916,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01922,33801922,CDM,1922,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01924,33801924,CDM,1924,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01930,33801930,CDM,1930,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01935 DIAGNOSTIC,33801935,CDM,1937,CPT,964,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01936 THERAPUTIC,33801936,CDM,1938,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 01961,33801961,CDM,1961,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA MISSED OR INCOMPLETE AB,33801965,CDM,1965,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA LABOR EPIDURAL UNIT 01967,33801967,CDM,1967,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHARGE UNIT 01968,33801968,CDM,1968,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA NERVE BLK OTHER THAN PRONE,33801991,CDM,1991,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA NERVE BLOCK PRONE,33801992,CDM,1992,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
ANESTHESIA CHG UNIT CPT 93312,33893312,CDM,1922,CPT,963,RC,inpatient,AA,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58,
BB AUTOLOGOUS UNIT PROCESSING ONLY,25201822,CDM,86890,CPT,300,RC,inpatient,,569,569,,483.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,429.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,483.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,500.72,88,,percent of total billed charges,,,,,,,,,434.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,517.79,91,,percent of total billed charges,,,540.55,95,,percent of total billed charges,,,472.27,83,,percent of total billed charges,,,472.27,83,,percent of total billed charges,,,,,,,,,,,,,,,472.27,83,,percent of total billed charges,,,540.55,95,,percent of total billed charges,,,512.1,90,,percent of total billed charges,,,512.1,90,,percent of total billed charges,,,466.58,82,,percent of total billed charges,,,512.1,90,,percent of total billed charges,,,483.65,85,,percent of total billed charges,,429.03,540.55,
BB AUTOLOGOUS UNIT TRANSFUSED,25201823,CDM,P9016,HCPCS,300,RC,inpatient,,2098,2098,,1781.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1581.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1783.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1846.24,88,,percent of total billed charges,,,,,,,,,1602.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1909.18,91,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1741.34,83,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1720.36,82,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1783.3,85,,percent of total billed charges,,1581.89,1993.1,
BB FRESH FROZEN PLASMA,25202374,CDM,P9017,HCPCS,390,RC,inpatient,,393,393,,333.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,334.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.84,88,,percent of total billed charges,,,,,,,,,300.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.63,91,,percent of total billed charges,,,373.35,95,,percent of total billed charges,,,326.19,83,,percent of total billed charges,,,326.19,83,,percent of total billed charges,,,,,,,,,,,,,,,326.19,83,,percent of total billed charges,,,373.35,95,,percent of total billed charges,,,353.7,90,,percent of total billed charges,,,353.7,90,,percent of total billed charges,,,322.26,82,,percent of total billed charges,,,353.7,90,,percent of total billed charges,,,334.05,85,,percent of total billed charges,,296.32,373.35,
BB RED BLOOD CELLS EACH UNIT,25203018,CDM,P9016,HCPCS,390,RC,inpatient,,2098,2098,,1781.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1581.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1783.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1846.24,88,,percent of total billed charges,,,,,,,,,1602.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1909.18,91,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1741.34,83,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1720.36,82,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1783.3,85,,percent of total billed charges,,1581.89,1993.1,
BB CRYOPRECIPITATE,25203019,CDM,P9012,HCPCS,390,RC,inpatient,,148,148,,125.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,111.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,125.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,130.24,88,,percent of total billed charges,,,,,,,,,113.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,134.68,91,,percent of total billed charges,,,140.6,95,,percent of total billed charges,,,122.84,83,,percent of total billed charges,,,122.84,83,,percent of total billed charges,,,,,,,,,,,,,,,122.84,83,,percent of total billed charges,,,140.6,95,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,121.36,82,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,125.8,85,,percent of total billed charges,,111.59,140.6,
"CARDIAC REHAB, PHASE II",15802090,CDM,93798,CPT,943,RC,inpatient,,596,596,,506,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,449.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,506.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,524.48,88,,percent of total billed charges,,,,,,,,,455.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,542.36,91,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,,,,,,,,,,,,,494.68,83,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,488.72,82,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,506.6,85,,percent of total billed charges,,449.38,566.2,
"CARDIAC REHAB, PHASE I(V-5-17)",15802091,CDM,93798,CPT,943,RC,inpatient,,264,264,,224.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,199.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,224.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,232.32,88,,percent of total billed charges,,,,,,,,,201.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,240.24,91,,percent of total billed charges,,,250.8,95,,percent of total billed charges,,,219.12,83,,percent of total billed charges,,,219.12,83,,percent of total billed charges,,,,,,,,,,,,,,,219.12,83,,percent of total billed charges,,,250.8,95,,percent of total billed charges,,,237.6,90,,percent of total billed charges,,,237.6,90,,percent of total billed charges,,,216.48,82,,percent of total billed charges,,,237.6,90,,percent of total billed charges,,,224.4,85,,percent of total billed charges,,199.06,250.8,
CARDIAC REHAB NON ECG MONITOR,15802092,CDM,93797,CPT,943,RC,inpatient,,596,596,,506,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,449.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,506.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,524.48,88,,percent of total billed charges,,,,,,,,,455.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,542.36,91,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,,,,,,,,,,,,,494.68,83,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,488.72,82,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,506.6,85,,percent of total billed charges,,449.38,566.2,
"CARDIAC REHAB, PHASE III",15802093,CDM,93798,CPT,943,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75,
"CARDIAC REHAB, PHASE II WITH MODIFIER",15802094,CDM,93798,CPT,943,RC,inpatient,KX,596,596,,506,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,449.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,506.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,524.48,88,,percent of total billed charges,,,,,,,,,455.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,542.36,91,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,,,,,,,,,,,,,494.68,83,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,488.72,82,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,506.6,85,,percent of total billed charges,,449.38,566.2,
EDUCATION TRAINING PATIENT SELF MGT,15802095,CDM,98960,CPT,942,RC,inpatient,,50,50,,42.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44,88,,percent of total billed charges,,,,,,,,,38.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45.5,91,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,,,,,,,,,,,,,41.5,83,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,45,90,,percent of total billed charges,,,45,90,,percent of total billed charges,,,41,82,,percent of total billed charges,,,45,90,,percent of total billed charges,,,42.5,85,,percent of total billed charges,,37.7,47.5,
PULMONARY EXERCISE SESSION GROUP(V-5-17),16000065,CDM,G0239,HCPCS,410,RC,inpatient,,310,310,,263.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,233.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,263.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,272.8,88,,percent of total billed charges,,,,,,,,,236.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,282.1,91,,percent of total billed charges,,,294.5,95,,percent of total billed charges,,,257.3,83,,percent of total billed charges,,,257.3,83,,percent of total billed charges,,,,,,,,,,,,,,,257.3,83,,percent of total billed charges,,,294.5,95,,percent of total billed charges,,,279,90,,percent of total billed charges,,,279,90,,percent of total billed charges,,,254.2,82,,percent of total billed charges,,,279,90,,percent of total billed charges,,,263.5,85,,percent of total billed charges,,233.74,294.5,
PULMONARY REHAB PER HOUR PER SESSION,16000067,CDM,94625,CPT,948,RC,inpatient,,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55,
PULMONARY REHAB PHASE III,16000068,CDM,94625,CPT,948,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75,
*DO NOT USE PULM REHAB MULTIPLE PULSE OX,16000070,CDM,94761,CPT,410,RC,inpatient,,143,143,,121.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,107.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,121.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,125.84,88,,percent of total billed charges,,,,,,,,,109.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,130.13,91,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,,,,,,,,,,,,,118.69,83,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,117.26,82,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,121.55,85,,percent of total billed charges,,107.82,135.85,
PULMONARY REHAB PER HOUR PER SESSION MOD,16000071,CDM,94625,CPT,948,RC,inpatient,KX,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55,
MINI HEART NEB FIRST HOUR,12800003,CDM,94644,CPT,410,RC,inpatient,,489,489,,415.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,368.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,415.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,430.32,88,,percent of total billed charges,,,,,,,,,373.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,444.99,91,,percent of total billed charges,,,464.55,95,,percent of total billed charges,,,405.87,83,,percent of total billed charges,,,405.87,83,,percent of total billed charges,,,,,,,,,,,,,,,405.87,83,,percent of total billed charges,,,464.55,95,,percent of total billed charges,,,440.1,90,,percent of total billed charges,,,440.1,90,,percent of total billed charges,,,400.98,82,,percent of total billed charges,,,440.1,90,,percent of total billed charges,,,415.65,85,,percent of total billed charges,,368.71,464.55,
HEART NEB 2 24 HOUR,12800005,CDM,94645,CPT,410,RC,inpatient,,689,689,,584.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,519.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,585.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,606.32,88,,percent of total billed charges,,,,,,,,,526.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,626.99,91,,percent of total billed charges,,,654.55,95,,percent of total billed charges,,,571.87,83,,percent of total billed charges,,,571.87,83,,percent of total billed charges,,,,,,,,,,,,,,,571.87,83,,percent of total billed charges,,,654.55,95,,percent of total billed charges,,,620.1,90,,percent of total billed charges,,,620.1,90,,percent of total billed charges,,,564.98,82,,percent of total billed charges,,,620.1,90,,percent of total billed charges,,,585.65,85,,percent of total billed charges,,519.51,654.55,
PULSE OXIMETRY CONTINUOUS,12800010,CDM,94762,CPT,410,RC,inpatient,,654,654,,555.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,493.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,555.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,575.52,88,,percent of total billed charges,,,,,,,,,499.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,595.14,91,,percent of total billed charges,,,621.3,95,,percent of total billed charges,,,542.82,83,,percent of total billed charges,,,542.82,83,,percent of total billed charges,,,,,,,,,,,,,,,542.82,83,,percent of total billed charges,,,621.3,95,,percent of total billed charges,,,588.6,90,,percent of total billed charges,,,588.6,90,,percent of total billed charges,,,536.28,82,,percent of total billed charges,,,588.6,90,,percent of total billed charges,,,555.9,85,,percent of total billed charges,,493.12,621.3,
VENT VISION INITIAL,12800014,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698,
VENT VISION SUBSEQUENT,12800015,CDM,94003,CPT,410,RC,inpatient,,2499,2499,,2121.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1884.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2124.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2199.12,88,,percent of total billed charges,,,,,,,,,1909.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2274.09,91,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2074.17,83,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2049.18,82,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2124.15,85,,percent of total billed charges,,1884.25,2374.05,
VPAP INITIAL,12800020,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698,
VPAP SUBSEQUENT,12800021,CDM,94003,CPT,410,RC,inpatient,,2499,2499,,2121.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1884.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2124.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2199.12,88,,percent of total billed charges,,,,,,,,,1909.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2274.09,91,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2074.17,83,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2049.18,82,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2124.15,85,,percent of total billed charges,,1884.25,2374.05,
CPT SUBSEQUENT,12800037,CDM,94668,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
VENT ASTRAL INITIAL,12800046,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698,
VPAP VENTILATOR SUBSEQUENT,12800050,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698,
VENT CROSSVENT INITIAL,12800051,CDM,94002,CPT,410,RC,inpatient,,2679,2679,,2274.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2019.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2277.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2357.52,88,,percent of total billed charges,,,,,,,,,2046.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2437.89,91,,percent of total billed charges,,,2545.05,95,,percent of total billed charges,,,2223.57,83,,percent of total billed charges,,,2223.57,83,,percent of total billed charges,,,,,,,,,,,,,,,2223.57,83,,percent of total billed charges,,,2545.05,95,,percent of total billed charges,,,2411.1,90,,percent of total billed charges,,,2411.1,90,,percent of total billed charges,,,2196.78,82,,percent of total billed charges,,,2411.1,90,,percent of total billed charges,,,2277.15,85,,percent of total billed charges,,2019.97,2545.05,
VENT ASTRAL SUBSEQUENT,12800053,CDM,94003,CPT,410,RC,inpatient,,2499,2499,,2121.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1884.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2124.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2199.12,88,,percent of total billed charges,,,,,,,,,1909.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2274.09,91,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2074.17,83,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2049.18,82,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2124.15,85,,percent of total billed charges,,1884.25,2374.05,
VENT CROSSVENT SUBSEQUENT,12800055,CDM,94003,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698,
CROUP TENT DAILY CHARGE,12800078,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85,
CPAP PER 16 HOURS,12800095,CDM,94660,CPT,410,RC,inpatient,,544,544,,461.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,410.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,462.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,478.72,88,,percent of total billed charges,,,,,,,,,415.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,495.04,91,,percent of total billed charges,,,516.8,95,,percent of total billed charges,,,451.52,83,,percent of total billed charges,,,451.52,83,,percent of total billed charges,,,,,,,,,,,,,,,451.52,83,,percent of total billed charges,,,516.8,95,,percent of total billed charges,,,489.6,90,,percent of total billed charges,,,489.6,90,,percent of total billed charges,,,446.08,82,,percent of total billed charges,,,489.6,90,,percent of total billed charges,,,462.4,85,,percent of total billed charges,,410.18,516.8,
CPAP PER 24 HOURS,12800096,CDM,94660,CPT,410,RC,inpatient,,680,680,,577.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,512.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,578,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,598.4,88,,percent of total billed charges,,,,,,,,,519.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,618.8,91,,percent of total billed charges,,,646,95,,percent of total billed charges,,,564.4,83,,percent of total billed charges,,,564.4,83,,percent of total billed charges,,,,,,,,,,,,,,,564.4,83,,percent of total billed charges,,,646,95,,percent of total billed charges,,,612,90,,percent of total billed charges,,,612,90,,percent of total billed charges,,,557.6,82,,percent of total billed charges,,,612,90,,percent of total billed charges,,,578,85,,percent of total billed charges,,512.72,646,
CPAP PER 8 HOURS,12800102,CDM,94660,CPT,410,RC,inpatient,,438,438,,371.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,330.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,372.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,385.44,88,,percent of total billed charges,,,,,,,,,334.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,398.58,91,,percent of total billed charges,,,416.1,95,,percent of total billed charges,,,363.54,83,,percent of total billed charges,,,363.54,83,,percent of total billed charges,,,,,,,,,,,,,,,363.54,83,,percent of total billed charges,,,416.1,95,,percent of total billed charges,,,394.2,90,,percent of total billed charges,,,394.2,90,,percent of total billed charges,,,359.16,82,,percent of total billed charges,,,394.2,90,,percent of total billed charges,,,372.3,85,,percent of total billed charges,,330.25,416.1,
ACAPELLA SUBSEQUENT,12800105,CDM,94668,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
IS SUBSEQUENT,12800115,CDM,,,410,RC,inpatient,,113,113,,95.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,85.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,96.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,99.44,88,,percent of total billed charges,,,,,,,,,86.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,102.83,91,,percent of total billed charges,,,107.35,95,,percent of total billed charges,,,93.79,83,,percent of total billed charges,,,93.79,83,,percent of total billed charges,,,,,,,,,,,,,,,93.79,83,,percent of total billed charges,,,107.35,95,,percent of total billed charges,,,101.7,90,,percent of total billed charges,,,101.7,90,,percent of total billed charges,,,92.66,82,,percent of total billed charges,,,101.7,90,,percent of total billed charges,,,96.05,85,,percent of total billed charges,,85.2,107.35,
EZ PAP TREATMENT,12800200,CDM,94640,CPT,410,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2,
NEBULIZER SUBSEQUENT,12800219,CDM,94640,CPT,410,RC,inpatient,76,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85,
NEBULIZER PRN,12800220,CDM,94640,CPT,410,RC,inpatient,,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85,
CPR UP TO 1 HOUR,12801001,CDM,92950,CPT,480,RC,inpatient,,1580,1580,,1341.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1191.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1343,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1390.4,88,,percent of total billed charges,,,,,,,,,1207.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1437.8,91,,percent of total billed charges,,,1501,95,,percent of total billed charges,,,1311.4,83,,percent of total billed charges,,,1311.4,83,,percent of total billed charges,,,,,,,,,,,,,,,1311.4,83,,percent of total billed charges,,,1501,95,,percent of total billed charges,,,1422,90,,percent of total billed charges,,,1422,90,,percent of total billed charges,,,1295.6,82,,percent of total billed charges,,,1422,90,,percent of total billed charges,,,1343,85,,percent of total billed charges,,1191.32,1501,
CPR UP TO 2 HOURS,12801010,CDM,92950,CPT,480,RC,inpatient,,775,775,,657.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,584.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,658.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,682,88,,percent of total billed charges,,,,,,,,,592.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,705.25,91,,percent of total billed charges,,,736.25,95,,percent of total billed charges,,,643.25,83,,percent of total billed charges,,,643.25,83,,percent of total billed charges,,,,,,,,,,,,,,,643.25,83,,percent of total billed charges,,,736.25,95,,percent of total billed charges,,,697.5,90,,percent of total billed charges,,,697.5,90,,percent of total billed charges,,,635.5,82,,percent of total billed charges,,,697.5,90,,percent of total billed charges,,,658.75,85,,percent of total billed charges,,584.35,736.25,
CPR UP TO 3 HOURS,12801011,CDM,92950,CPT,480,RC,inpatient,,967,967,,820.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,729.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,821.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,850.96,88,,percent of total billed charges,,,,,,,,,738.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,879.97,91,,percent of total billed charges,,,918.65,95,,percent of total billed charges,,,802.61,83,,percent of total billed charges,,,802.61,83,,percent of total billed charges,,,,,,,,,,,,,,,802.61,83,,percent of total billed charges,,,918.65,95,,percent of total billed charges,,,870.3,90,,percent of total billed charges,,,870.3,90,,percent of total billed charges,,,792.94,82,,percent of total billed charges,,,870.3,90,,percent of total billed charges,,,821.95,85,,percent of total billed charges,,729.12,918.65,
SUCTIONING,12801019,CDM,31720,CPT,410,RC,inpatient,,263,263,,223.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,198.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231.44,88,,percent of total billed charges,,,,,,,,,200.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,239.33,91,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,,,,,,,,,,,,,218.29,83,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,215.66,82,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,223.55,85,,percent of total billed charges,,198.3,249.85,
CROUP TENT SET UP,12801068,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85,
INITIAL PERCUSSIVE NEBULIZER,12801070,CDM,94664,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
SUBSEQUENT PERCUSSIVE NEBULIZER,12801071,CDM,94640,CPT,410,RC,inpatient,76,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85,
NEBULIZER INITIAL,12801092,CDM,94664,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
EZ PAP INITIAL,12801093,CDM,94640,CPT,410,RC,inpatient,,295,295,,250.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,222.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,250.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,259.6,88,,percent of total billed charges,,,,,,,,,225.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,268.45,91,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,,,,,,,,,,,,,244.85,83,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,241.9,82,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,250.75,85,,percent of total billed charges,,222.43,280.25,
CPT INITIAL,12801126,CDM,94667,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
TREATMENT ROOM,12801500,CDM,G0463,HCPCS,510,RC,inpatient,,155,155,,131.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,116.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,131.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,136.4,88,,percent of total billed charges,,,,,,,,,118.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,141.05,91,,percent of total billed charges,,,147.25,95,,percent of total billed charges,,,128.65,83,,percent of total billed charges,,,128.65,83,,percent of total billed charges,,,,,,,,,,,,,,,128.65,83,,percent of total billed charges,,,147.25,95,,percent of total billed charges,,,139.5,90,,percent of total billed charges,,,139.5,90,,percent of total billed charges,,,127.1,82,,percent of total billed charges,,,139.5,90,,percent of total billed charges,,,131.75,85,,percent of total billed charges,,116.87,147.25,
PULSE OX CHECK,12801506,CDM,94760,CPT,460,RC,inpatient,,180,180,,152.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,135.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,153,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,158.4,88,,percent of total billed charges,,,,,,,,,137.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,163.8,91,,percent of total billed charges,,,171,95,,percent of total billed charges,,,149.4,83,,percent of total billed charges,,,149.4,83,,percent of total billed charges,,,,,,,,,,,,,,,149.4,83,,percent of total billed charges,,,171,95,,percent of total billed charges,,,162,90,,percent of total billed charges,,,162,90,,percent of total billed charges,,,147.6,82,,percent of total billed charges,,,162,90,,percent of total billed charges,,,153,85,,percent of total billed charges,,135.72,171,
PULSE OX MULTIPLE FOR HOME O2 QUALIFY,12801507,CDM,94761,CPT,460,RC,inpatient,,211,211,,179.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,179.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,185.68,88,,percent of total billed charges,,,,,,,,,161.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.01,91,,percent of total billed charges,,,200.45,95,,percent of total billed charges,,,175.13,83,,percent of total billed charges,,,175.13,83,,percent of total billed charges,,,,,,,,,,,,,,,175.13,83,,percent of total billed charges,,,200.45,95,,percent of total billed charges,,,189.9,90,,percent of total billed charges,,,189.9,90,,percent of total billed charges,,,173.02,82,,percent of total billed charges,,,189.9,90,,percent of total billed charges,,,179.35,85,,percent of total billed charges,,159.09,200.45,
PFT-SCREENING,12801522,CDM,94010,CPT,460,RC,inpatient,,461,461,,391.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,347.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,391.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,405.68,88,,percent of total billed charges,,,,,,,,,352.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,419.51,91,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,,,,,,,,,,,,,382.63,83,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,378.02,82,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,391.85,85,,percent of total billed charges,,347.59,437.95,
PFT-COMPLETE,12801530,CDM,94060,CPT,460,RC,inpatient,,992,992,,842.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,747.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,843.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,872.96,88,,percent of total billed charges,,,,,,,,,757.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,902.72,91,,percent of total billed charges,,,942.4,95,,percent of total billed charges,,,823.36,83,,percent of total billed charges,,,823.36,83,,percent of total billed charges,,,,,,,,,,,,,,,823.36,83,,percent of total billed charges,,,942.4,95,,percent of total billed charges,,,892.8,90,,percent of total billed charges,,,892.8,90,,percent of total billed charges,,,813.44,82,,percent of total billed charges,,,892.8,90,,percent of total billed charges,,,843.2,85,,percent of total billed charges,,747.97,942.4,
ABG(V-4-19),12801563,CDM,82803,CPT,300,RC,inpatient,,722,722,,612.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,544.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,613.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,635.36,88,,percent of total billed charges,,,,,,,,,551.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,657.02,91,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,,,,,,,,,,,,,599.26,83,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,592.04,82,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,613.7,85,,percent of total billed charges,,544.39,685.9,
ARTERIAL PUNCTURE,12801564,CDM,36600,CPT,361,RC,inpatient,,146,146,,123.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,110.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,124.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,128.48,88,,percent of total billed charges,,,,,,,,,111.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,132.86,91,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,,,,,,,,,,,,,121.18,83,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,119.72,82,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,124.1,85,,percent of total billed charges,,110.08,138.7,
CORD VEIN GAS(V-12-20),12801565,CDM,82803,CPT,300,RC,inpatient,,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55,
CORD ARTERY GAS(V-12-20),12801566,CDM,82803,CPT,300,RC,inpatient,,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55,
ABG WITH LACTIC,12801567,CDM,83605,CPT,300,RC,inpatient,TC,978,978,,830.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,737.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,831.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,860.64,88,,percent of total billed charges,,,,,,,,,747.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,889.98,91,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,,,,,,,,,,,,,811.74,83,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,801.96,82,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,831.3,85,,percent of total billed charges,,737.41,929.1,
CAPILLARY BLOOD GAS,12801568,CDM,82803,CPT,300,RC,inpatient,,463,463,,393.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,349.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,393.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,407.44,88,,percent of total billed charges,,,,,,,,,353.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,421.33,91,,percent of total billed charges,,,439.85,95,,percent of total billed charges,,,384.29,83,,percent of total billed charges,,,384.29,83,,percent of total billed charges,,,,,,,,,,,,,,,384.29,83,,percent of total billed charges,,,439.85,95,,percent of total billed charges,,,416.7,90,,percent of total billed charges,,,416.7,90,,percent of total billed charges,,,379.66,82,,percent of total billed charges,,,416.7,90,,percent of total billed charges,,,393.55,85,,percent of total billed charges,,349.1,439.85,
CARBON MONOXIDE,12801576,CDM,82375,CPT,300,RC,inpatient,,212,212,,179.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,180.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,186.56,88,,percent of total billed charges,,,,,,,,,161.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.92,91,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,,,,,,,,,,,,,175.96,83,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,173.84,82,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,180.2,85,,percent of total billed charges,,159.85,201.4,
ABG-ISTAT(V-6-20),12801580,CDM,82803,CPT,300,RC,inpatient,TC,722,722,,612.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,544.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,613.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,635.36,88,,percent of total billed charges,,,,,,,,,551.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,657.02,91,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,,,,,,,,,,,,,599.26,83,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,592.04,82,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,613.7,85,,percent of total billed charges,,544.39,685.9,
CORD VEIN GAS-ISTAT,12801581,CDM,82803,CPT,300,RC,inpatient,TC,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55,
CORD ARTERY GAS-ISTAT,12801582,CDM,82803,CPT,300,RC,inpatient,TC,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55,
ABG WITH LACTIC-ISTAT,12801583,CDM,83605,CPT,300,RC,inpatient,TC,978,978,,830.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,737.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,831.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,860.64,88,,percent of total billed charges,,,,,,,,,747.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,889.98,91,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,,,,,,,,,,,,,811.74,83,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,801.96,82,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,831.3,85,,percent of total billed charges,,737.41,929.1,
ACAPELLA INITIAL,12801600,CDM,94667,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
PEAK FLOW CHECK,12801605,CDM,94010,CPT,460,RC,inpatient,,461,461,,391.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,347.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,391.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,405.68,88,,percent of total billed charges,,,,,,,,,352.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,419.51,91,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,,,,,,,,,,,,,382.63,83,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,378.02,82,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,391.85,85,,percent of total billed charges,,347.59,437.95,
* AEROSOL MASK (V1004),12802009,CDM,,,270,RC,inpatient,,50,50,,42.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44,88,,percent of total billed charges,,,,,,,,,38.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45.5,91,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,,,,,,,,,,,,,41.5,83,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,45,90,,percent of total billed charges,,,45,90,,percent of total billed charges,,,41,82,,percent of total billed charges,,,45,90,,percent of total billed charges,,,42.5,85,,percent of total billed charges,,37.7,47.5,
MDI SUBSEQUENT,12802223,CDM,94640,CPT,410,RC,inpatient,76,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85,
MDI INITIAL,12802224,CDM,94664,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65,
PH GAS ONLY,12802400,CDM,82800,CPT,410,RC,inpatient,,163,163,,138.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,122.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,138.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,143.44,88,,percent of total billed charges,,,,,,,,,124.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,148.33,91,,percent of total billed charges,,,154.85,95,,percent of total billed charges,,,135.29,83,,percent of total billed charges,,,135.29,83,,percent of total billed charges,,,,,,,,,,,,,,,135.29,83,,percent of total billed charges,,,154.85,95,,percent of total billed charges,,,146.7,90,,percent of total billed charges,,,146.7,90,,percent of total billed charges,,,133.66,82,,percent of total billed charges,,,146.7,90,,percent of total billed charges,,,138.55,85,,percent of total billed charges,,122.9,154.85,
NITROGEN WASHOUT,12803000,CDM,94727,CPT,460,RC,inpatient,,575,575,,488.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,433.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,488.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,506,88,,percent of total billed charges,,,,,,,,,439.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,523.25,91,,percent of total billed charges,,,546.25,95,,percent of total billed charges,,,477.25,83,,percent of total billed charges,,,477.25,83,,percent of total billed charges,,,,,,,,,,,,,,,477.25,83,,percent of total billed charges,,,546.25,95,,percent of total billed charges,,,517.5,90,,percent of total billed charges,,,517.5,90,,percent of total billed charges,,,471.5,82,,percent of total billed charges,,,517.5,90,,percent of total billed charges,,,488.75,85,,percent of total billed charges,,433.55,546.25,
DLCO,12803001,CDM,94729,CPT,460,RC,inpatient,,589,589,,500.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,444.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,500.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,518.32,88,,percent of total billed charges,,,,,,,,,450,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,535.99,91,,percent of total billed charges,,,559.55,95,,percent of total billed charges,,,488.87,83,,percent of total billed charges,,,488.87,83,,percent of total billed charges,,,,,,,,,,,,,,,488.87,83,,percent of total billed charges,,,559.55,95,,percent of total billed charges,,,530.1,90,,percent of total billed charges,,,530.1,90,,percent of total billed charges,,,482.98,82,,percent of total billed charges,,,530.1,90,,percent of total billed charges,,,500.65,85,,percent of total billed charges,,444.11,559.55,
VITAL CAPACITY TEST,12803002,CDM,94150,CPT,460,RC,inpatient,,263,263,,223.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,198.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231.44,88,,percent of total billed charges,,,,,,,,,200.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,239.33,91,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,,,,,,,,,,,,,218.29,83,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,215.66,82,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,223.55,85,,percent of total billed charges,,198.3,249.85,
PFT WITH BODY BOX,12803003,CDM,94726,CPT,460,RC,inpatient,,1498,1498,,1271.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1129.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1273.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1318.24,88,,percent of total billed charges,,,,,,,,,1144.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1363.18,91,,percent of total billed charges,,,1423.1,95,,percent of total billed charges,,,1243.34,83,,percent of total billed charges,,,1243.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1243.34,83,,percent of total billed charges,,,1423.1,95,,percent of total billed charges,,,1348.2,90,,percent of total billed charges,,,1348.2,90,,percent of total billed charges,,,1228.36,82,,percent of total billed charges,,,1348.2,90,,percent of total billed charges,,,1273.3,85,,percent of total billed charges,,1129.49,1423.1,
METHACHOLINE CHALLENGE,12803004,CDM,94070,CPT,460,RC,inpatient,,1454,1454,,1234.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1096.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1235.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1279.52,88,,percent of total billed charges,,,,,,,,,1110.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1323.14,91,,percent of total billed charges,,,1381.3,95,,percent of total billed charges,,,1206.82,83,,percent of total billed charges,,,1206.82,83,,percent of total billed charges,,,,,,,,,,,,,,,1206.82,83,,percent of total billed charges,,,1381.3,95,,percent of total billed charges,,,1308.6,90,,percent of total billed charges,,,1308.6,90,,percent of total billed charges,,,1192.28,82,,percent of total billed charges,,,1308.6,90,,percent of total billed charges,,,1235.9,85,,percent of total billed charges,,1096.32,1381.3,
NEBULIZER WITH PEAK FLOW,12803005,CDM,94640,CPT,410,RC,inpatient,,541,541,,459.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,407.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,459.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,476.08,88,,percent of total billed charges,,,,,,,,,413.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,492.31,91,,percent of total billed charges,,,513.95,95,,percent of total billed charges,,,449.03,83,,percent of total billed charges,,,449.03,83,,percent of total billed charges,,,,,,,,,,,,,,,449.03,83,,percent of total billed charges,,,513.95,95,,percent of total billed charges,,,486.9,90,,percent of total billed charges,,,486.9,90,,percent of total billed charges,,,443.62,82,,percent of total billed charges,,,486.9,90,,percent of total billed charges,,,459.85,85,,percent of total billed charges,,407.91,513.95,
CT BONE MARROW ASPIRATION,29100080,CDM,38220,CPT,352,RC,inpatient,TC,4766,4766,,4046.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3593.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4051.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4194.08,88,,percent of total billed charges,,,,,,,,,3641.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4337.06,91,,percent of total billed charges,,,4527.7,95,,percent of total billed charges,,,3955.78,83,,percent of total billed charges,,,3955.78,83,,percent of total billed charges,,,,,,,,,,,,,,,3955.78,83,,percent of total billed charges,,,4527.7,95,,percent of total billed charges,,,4289.4,90,,percent of total billed charges,,,4289.4,90,,percent of total billed charges,,,3908.12,82,,percent of total billed charges,,,4289.4,90,,percent of total billed charges,,,4051.1,85,,percent of total billed charges,,3593.56,4527.7,
CT BONE MARROW BIOPSY,29100081,CDM,38221,CPT,352,RC,inpatient,TC,3852,3852,,3270.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2904.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3274.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3389.76,88,,percent of total billed charges,,,,,,,,,2942.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3505.32,91,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,,,,,,,,,,,,,3197.16,83,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3158.64,82,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3274.2,85,,percent of total billed charges,,2904.41,3659.4,
CT BONE MARROW ASPIRATION/BIOPSY,29100082,CDM,38222,CPT,352,RC,inpatient,TC,4939,4939,,4193.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3724.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4198.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4346.32,88,,percent of total billed charges,,,,,,,,,3773.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4494.49,91,,percent of total billed charges,,,4692.05,95,,percent of total billed charges,,,4099.37,83,,percent of total billed charges,,,4099.37,83,,percent of total billed charges,,,,,,,,,,,,,,,4099.37,83,,percent of total billed charges,,,4692.05,95,,percent of total billed charges,,,4445.1,90,,percent of total billed charges,,,4445.1,90,,percent of total billed charges,,,4049.98,82,,percent of total billed charges,,,4445.1,90,,percent of total billed charges,,,4198.15,85,,percent of total billed charges,,3724.01,4692.05,
CT BONE MINERL DENSITY STUDY 1/> SITS AX,29100090,CDM,77078,CPT,352,RC,inpatient,TC,950,950,,806.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,716.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,807.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,836,88,,percent of total billed charges,,,,,,,,,725.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,864.5,91,,percent of total billed charges,,,902.5,95,,percent of total billed charges,,,788.5,83,,percent of total billed charges,,,788.5,83,,percent of total billed charges,,,,,,,,,,,,,,,788.5,83,,percent of total billed charges,,,902.5,95,,percent of total billed charges,,,855,90,,percent of total billed charges,,,855,90,,percent of total billed charges,,,779,82,,percent of total billed charges,,,855,90,,percent of total billed charges,,,807.5,85,,percent of total billed charges,,716.3,902.5,
CT BONE (DEEP) BIOPSY TROCAR/NEEDLE,29100100,CDM,20225,CPT,352,RC,inpatient,TC,4424,4424,,3755.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3335.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3760.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3893.12,88,,percent of total billed charges,,,,,,,,,3379.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4025.84,91,,percent of total billed charges,,,4202.8,95,,percent of total billed charges,,,3671.92,83,,percent of total billed charges,,,3671.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3671.92,83,,percent of total billed charges,,,4202.8,95,,percent of total billed charges,,,3981.6,90,,percent of total billed charges,,,3981.6,90,,percent of total billed charges,,,3627.68,82,,percent of total billed charges,,,3981.6,90,,percent of total billed charges,,,3760.4,85,,percent of total billed charges,,3335.7,4202.8,
CT BONE (SUPERFICI) BIOPSY TROCAR/NEEDLE,29100101,CDM,20220,CPT,352,RC,inpatient,TC,2947,2947,,2502,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2222.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2504.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2593.36,88,,percent of total billed charges,,,,,,,,,2251.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2681.77,91,,percent of total billed charges,,,2799.65,95,,percent of total billed charges,,,2446.01,83,,percent of total billed charges,,,2446.01,83,,percent of total billed charges,,,,,,,,,,,,,,,2446.01,83,,percent of total billed charges,,,2799.65,95,,percent of total billed charges,,,2652.3,90,,percent of total billed charges,,,2652.3,90,,percent of total billed charges,,,2416.54,82,,percent of total billed charges,,,2652.3,90,,percent of total billed charges,,,2504.95,85,,percent of total billed charges,,2222.04,2799.65,
CT LUNG PERCUT BX/MEDIASTINUM,29100102,CDM,32408,CPT,360,RC,inpatient,TC,3199,3199,,2715.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2412.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2719.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2815.12,88,,percent of total billed charges,,,,,,,,,2444.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2911.09,91,,percent of total billed charges,,,3039.05,95,,percent of total billed charges,,,2655.17,83,,percent of total billed charges,,,2655.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2655.17,83,,percent of total billed charges,,,3039.05,95,,percent of total billed charges,,,2879.1,90,,percent of total billed charges,,,2879.1,90,,percent of total billed charges,,,2623.18,82,,percent of total billed charges,,,2879.1,90,,percent of total billed charges,,,2719.15,85,,percent of total billed charges,,2412.05,3039.05,
CT LIVER NEEDLE BIOPSY,29100103,CDM,47000,CPT,352,RC,inpatient,TC,3257,3257,,2765.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2455.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2768.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2866.16,88,,percent of total billed charges,,,,,,,,,2488.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2963.87,91,,percent of total billed charges,,,3094.15,95,,percent of total billed charges,,,2703.31,83,,percent of total billed charges,,,2703.31,83,,percent of total billed charges,,,,,,,,,,,,,,,2703.31,83,,percent of total billed charges,,,3094.15,95,,percent of total billed charges,,,2931.3,90,,percent of total billed charges,,,2931.3,90,,percent of total billed charges,,,2670.74,82,,percent of total billed charges,,,2931.3,90,,percent of total billed charges,,,2768.45,85,,percent of total billed charges,,2455.78,3094.15,
CT ABDOMINAL BIOPSY,29100104,CDM,49180,CPT,361,RC,inpatient,TC,3040,3040,,2580.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2292.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2584,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2675.2,88,,percent of total billed charges,,,,,,,,,2322.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2766.4,91,,percent of total billed charges,,,2888,95,,percent of total billed charges,,,2523.2,83,,percent of total billed charges,,,2523.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2523.2,83,,percent of total billed charges,,,2888,95,,percent of total billed charges,,,2736,90,,percent of total billed charges,,,2736,90,,percent of total billed charges,,,2492.8,82,,percent of total billed charges,,,2736,90,,percent of total billed charges,,,2584,85,,percent of total billed charges,,2292.16,2888,
CT RENAL BIOPSY PERQ,29100105,CDM,50200,CPT,352,RC,inpatient,TC,3440,3440,,2920.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2593.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2924,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3027.2,88,,percent of total billed charges,,,,,,,,,2628.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3130.4,91,,percent of total billed charges,,,3268,95,,percent of total billed charges,,,2855.2,83,,percent of total billed charges,,,2855.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2855.2,83,,percent of total billed charges,,,3268,95,,percent of total billed charges,,,3096,90,,percent of total billed charges,,,3096,90,,percent of total billed charges,,,2820.8,82,,percent of total billed charges,,,3096,90,,percent of total billed charges,,,2924,85,,percent of total billed charges,,2593.76,3268,
CT SOFT TISSUE (DEEP) BIOPSY,29100106,CDM,27041,CPT,352,RC,inpatient,TC,4531,4531,,3846.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3416.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3851.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3987.28,88,,percent of total billed charges,,,,,,,,,3461.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4123.21,91,,percent of total billed charges,,,4304.45,95,,percent of total billed charges,,,3760.73,83,,percent of total billed charges,,,3760.73,83,,percent of total billed charges,,,,,,,,,,,,,,,3760.73,83,,percent of total billed charges,,,4304.45,95,,percent of total billed charges,,,4077.9,90,,percent of total billed charges,,,4077.9,90,,percent of total billed charges,,,3715.42,82,,percent of total billed charges,,,4077.9,90,,percent of total billed charges,,,3851.35,85,,percent of total billed charges,,3416.37,4304.45,
CT THORAX W/DYE,29100199,CDM,71260,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05,
CT THORAX W/DYE PE,29100200,CDM,71260,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05,
CT STONE (ABD/PELV W/O),29100201,CDM,74176,CPT,352,RC,inpatient,TC,6170,6170,,5238.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4652.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5244.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5429.6,88,,percent of total billed charges,,,,,,,,,4713.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5614.7,91,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5121.1,83,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5059.4,82,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5244.5,85,,percent of total billed charges,,4652.18,5861.5,
CT ABD/PELV W/WO,29100203,CDM,74178,CPT,352,RC,inpatient,TC,8550,8550,,7258.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6446.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7267.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7524,88,,percent of total billed charges,,,,,,,,,6532.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7780.5,91,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7096.5,83,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7011,82,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7267.5,85,,percent of total billed charges,,6446.7,8122.5,
CT ABD/PELV WITH,29100205,CDM,74177,CPT,352,RC,inpatient,TC,7335,7335,,6227.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5530.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6234.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6454.8,88,,percent of total billed charges,,,,,,,,,5603.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6674.85,91,,percent of total billed charges,,,6968.25,95,,percent of total billed charges,,,6088.05,83,,percent of total billed charges,,,6088.05,83,,percent of total billed charges,,,,,,,,,,,,,,,6088.05,83,,percent of total billed charges,,,6968.25,95,,percent of total billed charges,,,6601.5,90,,percent of total billed charges,,,6601.5,90,,percent of total billed charges,,,6014.7,82,,percent of total billed charges,,,6601.5,90,,percent of total billed charges,,,6234.75,85,,percent of total billed charges,,5530.59,6968.25,
CT ABD/PELV W/O,29100206,CDM,74176,CPT,352,RC,inpatient,TC,6170,6170,,5238.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4652.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5244.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5429.6,88,,percent of total billed charges,,,,,,,,,4713.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5614.7,91,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5121.1,83,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5059.4,82,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5244.5,85,,percent of total billed charges,,4652.18,5861.5,
CT UROGRAM,29100207,CDM,74178,CPT,352,RC,inpatient,TC,8550,8550,,7258.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6446.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7267.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7524,88,,percent of total billed charges,,,,,,,,,6532.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7780.5,91,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7096.5,83,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7011,82,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7267.5,85,,percent of total billed charges,,6446.7,8122.5,
CT SELLA W/,29100300,CDM,70481,CPT,350,RC,inpatient,,3751,3751,,3184.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2828.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3188.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3300.88,88,,percent of total billed charges,,,,,,,,,2865.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3413.41,91,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3113.33,83,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3075.82,82,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3188.35,85,,percent of total billed charges,,2828.25,3563.45,
CT SELLA W/WO,29100301,CDM,70482,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT SELLA W/O,29100302,CDM,70480,CPT,350,RC,inpatient,TC,3397,3397,,2884.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2561.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2887.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2989.36,88,,percent of total billed charges,,,,,,,,,2595.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3091.27,91,,percent of total billed charges,,,3227.15,95,,percent of total billed charges,,,2819.51,83,,percent of total billed charges,,,2819.51,83,,percent of total billed charges,,,,,,,,,,,,,,,2819.51,83,,percent of total billed charges,,,3227.15,95,,percent of total billed charges,,,3057.3,90,,percent of total billed charges,,,3057.3,90,,percent of total billed charges,,,2785.54,82,,percent of total billed charges,,,3057.3,90,,percent of total billed charges,,,2887.45,85,,percent of total billed charges,,2561.34,3227.15,
CT C SPINE W/,29100479,CDM,72126,CPT,352,RC,inpatient,,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05,
CT LOW EXT W LT,29100495,CDM,73701,CPT,350,RC,inpatient,,3869,3869,,3284.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2917.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3288.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3404.72,88,,percent of total billed charges,,,,,,,,,2955.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3520.79,91,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,,,,,,,,,,,,,3211.27,83,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3172.58,82,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3288.65,85,,percent of total billed charges,,2917.23,3675.55,
CT LOW EXT W RT,29100496,CDM,73701,CPT,350,RC,inpatient,,3869,3869,,3284.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2917.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3288.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3404.72,88,,percent of total billed charges,,,,,,,,,2955.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3520.79,91,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,,,,,,,,,,,,,3211.27,83,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3172.58,82,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3288.65,85,,percent of total billed charges,,2917.23,3675.55,
CT LOW EXT W/WO LEFT,29100511,CDM,73702,CPT,350,RC,inpatient,LT,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT LOW EXT W/WO RIGHT,29100512,CDM,73702,CPT,350,RC,inpatient,RT,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CTA LOW EXT RT W/WO/REPROC,29100513,CDM,73706,CPT,350,RC,inpatient,RT,5225,5225,,4436.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3939.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4441.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4598,88,,percent of total billed charges,,,,,,,,,3991.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4754.75,91,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4336.75,83,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4284.5,82,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4441.25,85,,percent of total billed charges,,3939.65,4963.75,
CTA LOW EXT LT W/WO/REPROC,29100514,CDM,73706,CPT,350,RC,inpatient,LT,5225,5225,,4436.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3939.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4441.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4598,88,,percent of total billed charges,,,,,,,,,3991.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4754.75,91,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4336.75,83,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4284.5,82,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4441.25,85,,percent of total billed charges,,3939.65,4963.75,
CTA LOW EXTBILATW/WO/REPRC,29100515,CDM,73706,CPT,350,RC,inpatient,50,10449,10449,,8871.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7878.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8881.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9195.12,88,,percent of total billed charges,,,,,,,,,7983.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9508.59,91,,percent of total billed charges,,,9926.55,95,,percent of total billed charges,,,8672.67,83,,percent of total billed charges,,,8672.67,83,,percent of total billed charges,,,,,,,,,,,,,,,8672.67,83,,percent of total billed charges,,,9926.55,95,,percent of total billed charges,,,9404.1,90,,percent of total billed charges,,,9404.1,90,,percent of total billed charges,,,8568.18,82,,percent of total billed charges,,,9404.1,90,,percent of total billed charges,,,8881.65,85,,percent of total billed charges,,7878.55,9926.55,
CTA ABD (W OR W/O),29100516,CDM,74175,CPT,350,RC,inpatient,TC,6339,6339,,5381.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4779.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5388.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5578.32,88,,percent of total billed charges,,,,,,,,,4843,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5768.49,91,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,,,,,,,,,,,,,5261.37,83,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5197.98,82,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5388.15,85,,percent of total billed charges,,4779.61,6022.05,
CTA CHEST W/WO/REPROC,29100517,CDM,71275,CPT,350,RC,inpatient,TC,6339,6339,,5381.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4779.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5388.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5578.32,88,,percent of total billed charges,,,,,,,,,4843,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5768.49,91,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,,,,,,,,,,,,,5261.37,83,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5197.98,82,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5388.15,85,,percent of total billed charges,,4779.61,6022.05,
CTA RUNOFAORTA/LEGSW/WOREP,29100518,CDM,75635,CPT,350,RC,inpatient,TC,6339,6339,,5381.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4779.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5388.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5578.32,88,,percent of total billed charges,,,,,,,,,4843,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5768.49,91,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,,,,,,,,,,,,,5261.37,83,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5197.98,82,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5388.15,85,,percent of total billed charges,,4779.61,6022.05,
CTA PELV W/WO/REPROC,29100519,CDM,72191,CPT,350,RC,inpatient,TC,6354,6354,,5394.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4790.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5400.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5591.52,88,,percent of total billed charges,,,,,,,,,4854.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5782.14,91,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,,,,,,,,,,,,,5273.82,83,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5210.28,82,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5400.9,85,,percent of total billed charges,,4790.92,6036.3,
CTA UP EXT BIL W/WO/REPROC,29100520,CDM,73206,CPT,350,RC,inpatient,TC,6354,6354,,5394.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4790.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5400.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5591.52,88,,percent of total billed charges,,,,,,,,,4854.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5782.14,91,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,,,,,,,,,,,,,5273.82,83,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5210.28,82,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5400.9,85,,percent of total billed charges,,4790.92,6036.3,
*DNU CTA NECK/CAROTID W/WO/REPROC PFA),29100522,CDM,70498,CPT,351,RC,inpatient,TC,3736,3736,,3171.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2816.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3175.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3287.68,88,,percent of total billed charges,,,,,,,,,2854.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3399.76,91,,percent of total billed charges,,,3549.2,95,,percent of total billed charges,,,3100.88,83,,percent of total billed charges,,,3100.88,83,,percent of total billed charges,,,,,,,,,,,,,,,3100.88,83,,percent of total billed charges,,,3549.2,95,,percent of total billed charges,,,3362.4,90,,percent of total billed charges,,,3362.4,90,,percent of total billed charges,,,3063.52,82,,percent of total billed charges,,,3362.4,90,,percent of total billed charges,,,3175.6,85,,percent of total billed charges,,2816.94,3549.2,
CTA ABD&PELV W/O&W/DYE,29100523,CDM,74174,CPT,350,RC,inpatient,TC,7012,7012,,5953.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5287.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5960.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6170.56,88,,percent of total billed charges,,,,,,,,,5357.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6380.92,91,,percent of total billed charges,,,6661.4,95,,percent of total billed charges,,,5819.96,83,,percent of total billed charges,,,5819.96,83,,percent of total billed charges,,,,,,,,,,,,,,,5819.96,83,,percent of total billed charges,,,6661.4,95,,percent of total billed charges,,,6310.8,90,,percent of total billed charges,,,6310.8,90,,percent of total billed charges,,,5749.84,82,,percent of total billed charges,,,6310.8,90,,percent of total billed charges,,,5960.2,85,,percent of total billed charges,,5287.05,6661.4,
CTA NECK/CAROTIDW/WO/REPRC,29100600,CDM,70498,CPT,351,RC,inpatient,TC,5789,5789,,4914.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4364.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4920.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5094.32,88,,percent of total billed charges,,,,,,,,,4422.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5267.99,91,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,,,,,,,,,,,,,4804.87,83,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4746.98,82,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4920.65,85,,percent of total billed charges,,4364.91,5499.55,
CTA HEAD(COW)W/WO/REPROC,29100601,CDM,70496,CPT,351,RC,inpatient,TC,5789,5789,,4914.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4364.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4920.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5094.32,88,,percent of total billed charges,,,,,,,,,4422.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5267.99,91,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,,,,,,,,,,,,,4804.87,83,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4746.98,82,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4920.65,85,,percent of total billed charges,,4364.91,5499.55,
CTA HEAD/NECK/CAROTID W W/O REPROCESSING,29100602,CDM,70498,CPT,351,RC,inpatient,TC,5789,5789,,4914.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4364.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4920.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5094.32,88,,percent of total billed charges,,,,,,,,,4422.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5267.99,91,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,,,,,,,,,,,,,4804.87,83,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4746.98,82,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4920.65,85,,percent of total billed charges,,4364.91,5499.55,
CT UP EXT LT W/WO,29100644,CDM,73202,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT UP EXT RT W/WO,29100645,CDM,73202,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT HEAD W/WO,29100909,CDM,70470,CPT,351,RC,inpatient,TC,4437,4437,,3767.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3345.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3771.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3904.56,88,,percent of total billed charges,,,,,,,,,3389.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4037.67,91,,percent of total billed charges,,,4215.15,95,,percent of total billed charges,,,3682.71,83,,percent of total billed charges,,,3682.71,83,,percent of total billed charges,,,,,,,,,,,,,,,3682.71,83,,percent of total billed charges,,,4215.15,95,,percent of total billed charges,,,3993.3,90,,percent of total billed charges,,,3993.3,90,,percent of total billed charges,,,3638.34,82,,percent of total billed charges,,,3993.3,90,,percent of total billed charges,,,3771.45,85,,percent of total billed charges,,3345.5,4215.15,
CT C SPINE W/O,29100990,CDM,72125,CPT,352,RC,inpatient,TC,3830,3830,,3251.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2887.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3255.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3370.4,88,,percent of total billed charges,,,,,,,,,2926.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3485.3,91,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,,,,,,,,,,,,,3178.9,83,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3140.6,82,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3255.5,85,,percent of total billed charges,,2887.82,3638.5,
CT FACIAL BONES W/O,29101121,CDM,70486,CPT,351,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2,
CT FACIAL BONES W/,29101122,CDM,70487,CPT,350,RC,inpatient,TC,3751,3751,,3184.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2828.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3188.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3300.88,88,,percent of total billed charges,,,,,,,,,2865.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3413.41,91,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3113.33,83,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3075.82,82,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3188.35,85,,percent of total billed charges,,2828.25,3563.45,
CT FACIAL BONES W/WO,29101123,CDM,70488,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT T SPINE W/O,29101220,CDM,72128,CPT,352,RC,inpatient,TC,3655,3655,,3103.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2755.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3106.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3216.4,88,,percent of total billed charges,,,,,,,,,2792.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3326.05,91,,percent of total billed charges,,,3472.25,95,,percent of total billed charges,,,3033.65,83,,percent of total billed charges,,,3033.65,83,,percent of total billed charges,,,,,,,,,,,,,,,3033.65,83,,percent of total billed charges,,,3472.25,95,,percent of total billed charges,,,3289.5,90,,percent of total billed charges,,,3289.5,90,,percent of total billed charges,,,2997.1,82,,percent of total billed charges,,,3289.5,90,,percent of total billed charges,,,3106.75,85,,percent of total billed charges,,2755.87,3472.25,
CT LTD OR FOLLOW-UP,29101386,CDM,76380,CPT,350,RC,inpatient,TC,2427,2427,,2060.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1829.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2062.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2135.76,88,,percent of total billed charges,,,,,,,,,1854.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2208.57,91,,percent of total billed charges,,,2305.65,95,,percent of total billed charges,,,2014.41,83,,percent of total billed charges,,,2014.41,83,,percent of total billed charges,,,,,,,,,,,,,,,2014.41,83,,percent of total billed charges,,,2305.65,95,,percent of total billed charges,,,2184.3,90,,percent of total billed charges,,,2184.3,90,,percent of total billed charges,,,1990.14,82,,percent of total billed charges,,,2184.3,90,,percent of total billed charges,,,2062.95,85,,percent of total billed charges,,1829.96,2305.65,
CT 3D RENDERING,29101395,CDM,76376,CPT,350,RC,inpatient,TC,1339,1339,,1136.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1009.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1138.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1178.32,88,,percent of total billed charges,,,,,,,,,1023,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1218.49,91,,percent of total billed charges,,,1272.05,95,,percent of total billed charges,,,1111.37,83,,percent of total billed charges,,,1111.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1111.37,83,,percent of total billed charges,,,1272.05,95,,percent of total billed charges,,,1205.1,90,,percent of total billed charges,,,1205.1,90,,percent of total billed charges,,,1097.98,82,,percent of total billed charges,,,1205.1,90,,percent of total billed charges,,,1138.15,85,,percent of total billed charges,,1009.61,1272.05,
CT IAC W/WO,29101428,CDM,70482,CPT,351,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT IAC W/,29101436,CDM,70481,CPT,351,RC,inpatient,,3857,3857,,3274.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2908.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3278.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3394.16,88,,percent of total billed charges,,,,,,,,,2946.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3509.87,91,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3201.31,83,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3162.74,82,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3278.45,85,,percent of total billed charges,,2908.18,3664.15,
CT TEMPORAL BONES W/,29101437,CDM,70481,CPT,351,RC,inpatient,,3751,3751,,3184.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2828.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3188.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3300.88,88,,percent of total billed charges,,,,,,,,,2865.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3413.41,91,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3113.33,83,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3075.82,82,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3188.35,85,,percent of total billed charges,,2828.25,3563.45,
CT TEMPORAL BONES W/WO,29101438,CDM,70482,CPT,351,RC,inpatient,,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05,
CT TEMPORAL BONES W/O,29101439,CDM,70480,CPT,351,RC,inpatient,TC,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6,
CT INJ TRANSFORAMINAL EPIDURAL C/T SINGL,29101950,CDM,64479,CPT,360,RC,inpatient,TC,3928,3928,,3334.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2961.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3338.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3456.64,88,,percent of total billed charges,,,,,,,,,3000.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3574.48,91,,percent of total billed charges,,,3731.6,95,,percent of total billed charges,,,3260.24,83,,percent of total billed charges,,,3260.24,83,,percent of total billed charges,,,,,,,,,,,,,,,3260.24,83,,percent of total billed charges,,,3731.6,95,,percent of total billed charges,,,3535.2,90,,percent of total billed charges,,,3535.2,90,,percent of total billed charges,,,3220.96,82,,percent of total billed charges,,,3535.2,90,,percent of total billed charges,,,3338.8,85,,percent of total billed charges,,2961.71,3731.6,
CT INJ TRANSFORAMINAL EPIDURAL C/T EACH,29101951,CDM,64480,CPT,360,RC,inpatient,TC,2387,2387,,2026.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1799.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2028.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2100.56,88,,percent of total billed charges,,,,,,,,,1823.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2172.17,91,,percent of total billed charges,,,2267.65,95,,percent of total billed charges,,,1981.21,83,,percent of total billed charges,,,1981.21,83,,percent of total billed charges,,,,,,,,,,,,,,,1981.21,83,,percent of total billed charges,,,2267.65,95,,percent of total billed charges,,,2148.3,90,,percent of total billed charges,,,2148.3,90,,percent of total billed charges,,,1957.34,82,,percent of total billed charges,,,2148.3,90,,percent of total billed charges,,,2028.95,85,,percent of total billed charges,,1799.8,2267.65,
CT ASPIRATION & INJECTION KIDNEY CYST,29101980,CDM,50390,CPT,360,RC,inpatient,TC,3212,3212,,2726.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2421.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2730.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2826.56,88,,percent of total billed charges,,,,,,,,,2453.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2922.92,91,,percent of total billed charges,,,3051.4,95,,percent of total billed charges,,,2665.96,83,,percent of total billed charges,,,2665.96,83,,percent of total billed charges,,,,,,,,,,,,,,,2665.96,83,,percent of total billed charges,,,3051.4,95,,percent of total billed charges,,,2890.8,90,,percent of total billed charges,,,2890.8,90,,percent of total billed charges,,,2633.84,82,,percent of total billed charges,,,2890.8,90,,percent of total billed charges,,,2730.2,85,,percent of total billed charges,,2421.85,3051.4,
CT GUIDED ASPIRATION/INJ BONE CYST,29101981,CDM,20615,CPT,360,RC,inpatient,TC,4261,4261,,3617.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3212.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3621.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3749.68,88,,percent of total billed charges,,,,,,,,,3255.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3877.51,91,,percent of total billed charges,,,4047.95,95,,percent of total billed charges,,,3536.63,83,,percent of total billed charges,,,3536.63,83,,percent of total billed charges,,,,,,,,,,,,,,,3536.63,83,,percent of total billed charges,,,4047.95,95,,percent of total billed charges,,,3834.9,90,,percent of total billed charges,,,3834.9,90,,percent of total billed charges,,,3494.02,82,,percent of total billed charges,,,3834.9,90,,percent of total billed charges,,,3621.85,85,,percent of total billed charges,,3212.79,4047.95,
CT FACET INJ C/T,29101982,CDM,64490,CPT,360,RC,inpatient,TC,3545,3545,,3009.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2672.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3013.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3119.6,88,,percent of total billed charges,,,,,,,,,2708.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3225.95,91,,percent of total billed charges,,,3367.75,95,,percent of total billed charges,,,2942.35,83,,percent of total billed charges,,,2942.35,83,,percent of total billed charges,,,,,,,,,,,,,,,2942.35,83,,percent of total billed charges,,,3367.75,95,,percent of total billed charges,,,3190.5,90,,percent of total billed charges,,,3190.5,90,,percent of total billed charges,,,2906.9,82,,percent of total billed charges,,,3190.5,90,,percent of total billed charges,,,3013.25,85,,percent of total billed charges,,2672.93,3367.75,
CT PUDENDAL NERVE BLOCK,29101983,CDM,64430,CPT,360,RC,inpatient,TC,4178,4178,,3547.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3150.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3551.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3676.64,88,,percent of total billed charges,,,,,,,,,3191.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3801.98,91,,percent of total billed charges,,,3969.1,95,,percent of total billed charges,,,3467.74,83,,percent of total billed charges,,,3467.74,83,,percent of total billed charges,,,,,,,,,,,,,,,3467.74,83,,percent of total billed charges,,,3969.1,95,,percent of total billed charges,,,3760.2,90,,percent of total billed charges,,,3760.2,90,,percent of total billed charges,,,3425.96,82,,percent of total billed charges,,,3760.2,90,,percent of total billed charges,,,3551.3,85,,percent of total billed charges,,3150.21,3969.1,
CT OCCIPITAL NERVE INJECTION,29101984,CDM,64405,CPT,360,RC,inpatient,TC,2116,2116,,1796.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1595.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1798.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1862.08,88,,percent of total billed charges,,,,,,,,,1616.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1925.56,91,,percent of total billed charges,,,2010.2,95,,percent of total billed charges,,,1756.28,83,,percent of total billed charges,,,1756.28,83,,percent of total billed charges,,,,,,,,,,,,,,,1756.28,83,,percent of total billed charges,,,2010.2,95,,percent of total billed charges,,,1904.4,90,,percent of total billed charges,,,1904.4,90,,percent of total billed charges,,,1735.12,82,,percent of total billed charges,,,1904.4,90,,percent of total billed charges,,,1798.6,85,,percent of total billed charges,,1595.46,2010.2,
CT PARACERVICAL NERVE BLOCK,29101985,CDM,64435,CPT,360,RC,inpatient,TC,4249,4249,,3607.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3203.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3611.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3739.12,88,,percent of total billed charges,,,,,,,,,3246.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3866.59,91,,percent of total billed charges,,,4036.55,95,,percent of total billed charges,,,3526.67,83,,percent of total billed charges,,,3526.67,83,,percent of total billed charges,,,,,,,,,,,,,,,3526.67,83,,percent of total billed charges,,,4036.55,95,,percent of total billed charges,,,3824.1,90,,percent of total billed charges,,,3824.1,90,,percent of total billed charges,,,3484.18,82,,percent of total billed charges,,,3824.1,90,,percent of total billed charges,,,3611.65,85,,percent of total billed charges,,3203.75,4036.55,
CT CRYO ABLATION RENAL TUMOR,29101990,CDM,50593,CPT,359,RC,inpatient,TC,17488,17488,,14847.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13185.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14864.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15389.44,88,,percent of total billed charges,,,,,,,,,13360.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15914.08,91,,percent of total billed charges,,,16613.6,95,,percent of total billed charges,,,14515.04,83,,percent of total billed charges,,,14515.04,83,,percent of total billed charges,,,,,,,,,,,,,,,14515.04,83,,percent of total billed charges,,,16613.6,95,,percent of total billed charges,,,15739.2,90,,percent of total billed charges,,,15739.2,90,,percent of total billed charges,,,14340.16,82,,percent of total billed charges,,,15739.2,90,,percent of total billed charges,,,14864.8,85,,percent of total billed charges,,13185.95,16613.6,
CT CHANGE OF PERC DRAIN CATH,29101993,CDM,75984,CPT,359,RC,inpatient,TC,4405,4405,,3739.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3321.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3744.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3876.4,88,,percent of total billed charges,,,,,,,,,3365.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4008.55,91,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,,,,,,,,,,,,,3656.15,83,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3612.1,82,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3744.25,85,,percent of total billed charges,,3321.37,4184.75,
CT ESI C/T SPINE,29101994,CDM,62321,CPT,360,RC,inpatient,TC,4678,4678,,3971.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3527.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3976.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4116.64,88,,percent of total billed charges,,,,,,,,,3573.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4256.98,91,,percent of total billed charges,,,4444.1,95,,percent of total billed charges,,,3882.74,83,,percent of total billed charges,,,3882.74,83,,percent of total billed charges,,,,,,,,,,,,,,,3882.74,83,,percent of total billed charges,,,4444.1,95,,percent of total billed charges,,,4210.2,90,,percent of total billed charges,,,4210.2,90,,percent of total billed charges,,,3835.96,82,,percent of total billed charges,,,4210.2,90,,percent of total billed charges,,,3976.3,85,,percent of total billed charges,,3527.21,4444.1,
CT NEEDLE PLACEMENT CT GUIDANCE,29101995,CDM,77012,CPT,359,RC,inpatient,TC,4527,4527,,3843.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3413.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3847.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3983.76,88,,percent of total billed charges,,,,,,,,,3458.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4119.57,91,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,,,,,,,,,,,,,3757.41,83,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3712.14,82,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3847.95,85,,percent of total billed charges,,3413.36,4300.65,
CT GUIDE PERC DRAIN W/CATH,29101996,CDM,75989,CPT,359,RC,inpatient,TC,4405,4405,,3739.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3321.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3744.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3876.4,88,,percent of total billed charges,,,,,,,,,3365.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4008.55,91,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,,,,,,,,,,,,,3656.15,83,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3612.1,82,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3744.25,85,,percent of total billed charges,,3321.37,4184.75,
* DNU CT GUIDE NEEDLE BX(V0107),29101998,CDM,76360,CPT,359,RC,inpatient,,4405,4405,,3739.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3321.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3744.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3876.4,88,,percent of total billed charges,,,,,,,,,3365.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4008.55,91,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,,,,,,,,,,,,,3656.15,83,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3612.1,82,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3744.25,85,,percent of total billed charges,,3321.37,4184.75,
CT DRAINAGE OF OVARIAN CYST,29102000,CDM,49407,CPT,360,RC,inpatient,TC,6924,6924,,5878.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5220.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5885.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6093.12,88,,percent of total billed charges,,,,,,,,,5289.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6300.84,91,,percent of total billed charges,,,6577.8,95,,percent of total billed charges,,,5746.92,83,,percent of total billed charges,,,5746.92,83,,percent of total billed charges,,,,,,,,,,,,,,,5746.92,83,,percent of total billed charges,,,6577.8,95,,percent of total billed charges,,,6231.6,90,,percent of total billed charges,,,6231.6,90,,percent of total billed charges,,,5677.68,82,,percent of total billed charges,,,6231.6,90,,percent of total billed charges,,,5885.4,85,,percent of total billed charges,,5220.7,6577.8,
CT HEAD W/O,29102004,CDM,70450,CPT,351,RC,inpatient,TC,3784,3784,,3212.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2853.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3216.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.92,88,,percent of total billed charges,,,,,,,,,2890.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3443.44,91,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3140.72,83,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3102.88,82,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3216.4,85,,percent of total billed charges,,2853.14,3594.8,
CT HEAD W/,29102020,CDM,70460,CPT,351,RC,inpatient,TC,3908,3908,,3317.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2946.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3321.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3439.04,88,,percent of total billed charges,,,,,,,,,2985.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3556.28,91,,percent of total billed charges,,,3712.6,95,,percent of total billed charges,,,3243.64,83,,percent of total billed charges,,,3243.64,83,,percent of total billed charges,,,,,,,,,,,,,,,3243.64,83,,percent of total billed charges,,,3712.6,95,,percent of total billed charges,,,3517.2,90,,percent of total billed charges,,,3517.2,90,,percent of total billed charges,,,3204.56,82,,percent of total billed charges,,,3517.2,90,,percent of total billed charges,,,3321.8,85,,percent of total billed charges,,2946.63,3712.6,
CT ORBIT W/O,29102038,CDM,70480,CPT,351,RC,inpatient,TC,3358,3358,,2850.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2531.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2854.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2955.04,88,,percent of total billed charges,,,,,,,,,2565.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3055.78,91,,percent of total billed charges,,,3190.1,95,,percent of total billed charges,,,2787.14,83,,percent of total billed charges,,,2787.14,83,,percent of total billed charges,,,,,,,,,,,,,,,2787.14,83,,percent of total billed charges,,,3190.1,95,,percent of total billed charges,,,3022.2,90,,percent of total billed charges,,,3022.2,90,,percent of total billed charges,,,2753.56,82,,percent of total billed charges,,,3022.2,90,,percent of total billed charges,,,2854.3,85,,percent of total billed charges,,2531.93,3190.1,
CT ORBIT W/WO,29102046,CDM,70482,CPT,351,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT ORBIT W/,29102053,CDM,70481,CPT,351,RC,inpatient,,3857,3857,,3274.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2908.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3278.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3394.16,88,,percent of total billed charges,,,,,,,,,2946.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3509.87,91,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3201.31,83,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3162.74,82,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3278.45,85,,percent of total billed charges,,2908.18,3664.15,
CT NECK W/O (SOFT TISSUE),29102061,CDM,70490,CPT,351,RC,inpatient,TC,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6,
CT NECK W/WO(SOFTTISSUE),29102079,CDM,70492,CPT,351,RC,inpatient,TC,4527,4527,,3843.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3413.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3847.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3983.76,88,,percent of total billed charges,,,,,,,,,3458.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4119.57,91,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,,,,,,,,,,,,,3757.41,83,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3712.14,82,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3847.95,85,,percent of total billed charges,,3413.36,4300.65,
CT NECK W/(SOFT TISSUE),29102087,CDM,70491,CPT,351,RC,inpatient,TC,3920,3920,,3328.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2955.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3332,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3449.6,88,,percent of total billed charges,,,,,,,,,2994.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3567.2,91,,percent of total billed charges,,,3724,95,,percent of total billed charges,,,3253.6,83,,percent of total billed charges,,,3253.6,83,,percent of total billed charges,,,,,,,,,,,,,,,3253.6,83,,percent of total billed charges,,,3724,95,,percent of total billed charges,,,3528,90,,percent of total billed charges,,,3528,90,,percent of total billed charges,,,3214.4,82,,percent of total billed charges,,,3528,90,,percent of total billed charges,,,3332,85,,percent of total billed charges,,2955.68,3724,
CT THORAX W/O DYE,29102095,CDM,71250,CPT,352,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2,
CT LOW DOSE LUNG SCREENING,29102096,CDM,71271,CPT,352,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2,
CT THORAX W/O & W/DYE,29102103,CDM,71270,CPT,352,RC,inpatient,TC,4849,4849,,4116.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3656.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4121.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4267.12,88,,percent of total billed charges,,,,,,,,,3704.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4412.59,91,,percent of total billed charges,,,4606.55,95,,percent of total billed charges,,,4024.67,83,,percent of total billed charges,,,4024.67,83,,percent of total billed charges,,,,,,,,,,,,,,,4024.67,83,,percent of total billed charges,,,4606.55,95,,percent of total billed charges,,,4364.1,90,,percent of total billed charges,,,4364.1,90,,percent of total billed charges,,,3976.18,82,,percent of total billed charges,,,4364.1,90,,percent of total billed charges,,,4121.65,85,,percent of total billed charges,,3656.15,4606.55,
CT THORAX W/DYE,29102111,CDM,71260,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05,
CT PELVIS W/O,29102129,CDM,72192,CPT,352,RC,inpatient,TC,3784,3784,,3212.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2853.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3216.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.92,88,,percent of total billed charges,,,,,,,,,2890.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3443.44,91,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3140.72,83,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3102.88,82,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3216.4,85,,percent of total billed charges,,2853.14,3594.8,
CT PELVIS W/WO,29102137,CDM,72194,CPT,352,RC,inpatient,TC,5573,5573,,4731.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4202.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4737.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4904.24,88,,percent of total billed charges,,,,,,,,,4257.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5071.43,91,,percent of total billed charges,,,5294.35,95,,percent of total billed charges,,,4625.59,83,,percent of total billed charges,,,4625.59,83,,percent of total billed charges,,,,,,,,,,,,,,,4625.59,83,,percent of total billed charges,,,5294.35,95,,percent of total billed charges,,,5015.7,90,,percent of total billed charges,,,5015.7,90,,percent of total billed charges,,,4569.86,82,,percent of total billed charges,,,5015.7,90,,percent of total billed charges,,,4737.05,85,,percent of total billed charges,,4202.04,5294.35,
CT PELVIS W/,29102145,CDM,72193,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05,
CT ABDOMEN W/O,29102152,CDM,74150,CPT,352,RC,inpatient,TC,3784,3784,,3212.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2853.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3216.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.92,88,,percent of total billed charges,,,,,,,,,2890.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3443.44,91,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3140.72,83,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3102.88,82,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3216.4,85,,percent of total billed charges,,2853.14,3594.8,
CT ABDOMEN W/WO,29102160,CDM,74170,CPT,352,RC,inpatient,TC,5093,5093,,4323.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3840.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4329.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4481.84,88,,percent of total billed charges,,,,,,,,,3891.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4634.63,91,,percent of total billed charges,,,4838.35,95,,percent of total billed charges,,,4227.19,83,,percent of total billed charges,,,4227.19,83,,percent of total billed charges,,,,,,,,,,,,,,,4227.19,83,,percent of total billed charges,,,4838.35,95,,percent of total billed charges,,,4583.7,90,,percent of total billed charges,,,4583.7,90,,percent of total billed charges,,,4176.26,82,,percent of total billed charges,,,4583.7,90,,percent of total billed charges,,,4329.05,85,,percent of total billed charges,,3840.12,4838.35,
CT ABDOMEN W/,29102178,CDM,74160,CPT,352,RC,inpatient,TC,4404,4404,,3739,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3320.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3743.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3875.52,88,,percent of total billed charges,,,,,,,,,3364.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4007.64,91,,percent of total billed charges,,,4183.8,95,,percent of total billed charges,,,3655.32,83,,percent of total billed charges,,,3655.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3655.32,83,,percent of total billed charges,,,4183.8,95,,percent of total billed charges,,,3963.6,90,,percent of total billed charges,,,3963.6,90,,percent of total billed charges,,,3611.28,82,,percent of total billed charges,,,3963.6,90,,percent of total billed charges,,,3743.4,85,,percent of total billed charges,,3320.62,4183.8,
CT L SPINE W/O,29102186,CDM,72131,CPT,352,RC,inpatient,TC,3830,3830,,3251.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2887.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3255.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3370.4,88,,percent of total billed charges,,,,,,,,,2926.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3485.3,91,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,,,,,,,,,,,,,3178.9,83,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3140.6,82,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3255.5,85,,percent of total billed charges,,2887.82,3638.5,
CT L SPINE W/WO,29102194,CDM,72133,CPT,352,RC,inpatient,,4967,4967,,4216.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3745.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4221.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4370.96,88,,percent of total billed charges,,,,,,,,,3794.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4519.97,91,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,,,,,,,,,,,,,4122.61,83,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4072.94,82,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4221.95,85,,percent of total billed charges,,3745.12,4718.65,
CT L SPINE W,29102202,CDM,72132,CPT,352,RC,inpatient,,4470,4470,,3795.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3370.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3799.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3933.6,88,,percent of total billed charges,,,,,,,,,3415.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4067.7,91,,percent of total billed charges,,,4246.5,95,,percent of total billed charges,,,3710.1,83,,percent of total billed charges,,,3710.1,83,,percent of total billed charges,,,,,,,,,,,,,,,3710.1,83,,percent of total billed charges,,,4246.5,95,,percent of total billed charges,,,4023,90,,percent of total billed charges,,,4023,90,,percent of total billed charges,,,3665.4,82,,percent of total billed charges,,,4023,90,,percent of total billed charges,,,3799.5,85,,percent of total billed charges,,3370.38,4246.5,
CT IAC W/O,29102228,CDM,70480,CPT,351,RC,inpatient,TC,3405,3405,,2890.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2567.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2894.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2996.4,88,,percent of total billed charges,,,,,,,,,2601.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3098.55,91,,percent of total billed charges,,,3234.75,95,,percent of total billed charges,,,2826.15,83,,percent of total billed charges,,,2826.15,83,,percent of total billed charges,,,,,,,,,,,,,,,2826.15,83,,percent of total billed charges,,,3234.75,95,,percent of total billed charges,,,3064.5,90,,percent of total billed charges,,,3064.5,90,,percent of total billed charges,,,2792.1,82,,percent of total billed charges,,,3064.5,90,,percent of total billed charges,,,2894.25,85,,percent of total billed charges,,2567.37,3234.75,
CT C SPINE W/WO,29102251,CDM,72127,CPT,352,RC,inpatient,,4967,4967,,4216.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3745.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4221.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4370.96,88,,percent of total billed charges,,,,,,,,,3794.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4519.97,91,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,,,,,,,,,,,,,4122.61,83,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4072.94,82,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4221.95,85,,percent of total billed charges,,3745.12,4718.65,
CT UP EXT LT W,29102269,CDM,73201,CPT,350,RC,inpatient,,4016,4016,,3409.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3028.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3413.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3534.08,88,,percent of total billed charges,,,,,,,,,3068.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3654.56,91,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3333.28,83,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3293.12,82,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3413.6,85,,percent of total billed charges,,3028.06,3815.2,
CT UP EXT RT W,29102270,CDM,73201,CPT,350,RC,inpatient,TC,4016,4016,,3409.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3028.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3413.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3534.08,88,,percent of total billed charges,,,,,,,,,3068.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3654.56,91,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3333.28,83,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3293.12,82,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3413.6,85,,percent of total billed charges,,3028.06,3815.2,
CT T SPINE W/WO,29102277,CDM,72130,CPT,352,RC,inpatient,,4967,4967,,4216.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3745.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4221.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4370.96,88,,percent of total billed charges,,,,,,,,,3794.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4519.97,91,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,,,,,,,,,,,,,4122.61,83,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4072.94,82,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4221.95,85,,percent of total billed charges,,3745.12,4718.65,
CT UP EXT LEFT W/O,29102285,CDM,73200,CPT,350,RC,inpatient,LT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6,
CT UP EXT RIGHT W/O,29102286,CDM,73200,CPT,350,RC,inpatient,RT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6,
CT T SPINE W,29102293,CDM,72129,CPT,352,RC,inpatient,TC,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT SINUSES W/O,29102301,CDM,70486,CPT,351,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2,
CT SINUSES W/,29102302,CDM,70487,CPT,350,RC,inpatient,,3842,3842,,3261.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2896.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3265.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3380.96,88,,percent of total billed charges,,,,,,,,,2935.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3496.22,91,,percent of total billed charges,,,3649.9,95,,percent of total billed charges,,,3188.86,83,,percent of total billed charges,,,3188.86,83,,percent of total billed charges,,,,,,,,,,,,,,,3188.86,83,,percent of total billed charges,,,3649.9,95,,percent of total billed charges,,,3457.8,90,,percent of total billed charges,,,3457.8,90,,percent of total billed charges,,,3150.44,82,,percent of total billed charges,,,3457.8,90,,percent of total billed charges,,,3265.7,85,,percent of total billed charges,,2896.87,3649.9,
CT SINUSES W/WO,29102303,CDM,70488,CPT,350,RC,inpatient,TC,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45,
CT PARACENTESIS W/IMAGING,29102349,CDM,49083,CPT,360,RC,inpatient,TC,2973,2973,,2524.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2241.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2527.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2616.24,88,,percent of total billed charges,,,,,,,,,2271.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2705.43,91,,percent of total billed charges,,,2824.35,95,,percent of total billed charges,,,2467.59,83,,percent of total billed charges,,,2467.59,83,,percent of total billed charges,,,,,,,,,,,,,,,2467.59,83,,percent of total billed charges,,,2824.35,95,,percent of total billed charges,,,2675.7,90,,percent of total billed charges,,,2675.7,90,,percent of total billed charges,,,2437.86,82,,percent of total billed charges,,,2675.7,90,,percent of total billed charges,,,2527.05,85,,percent of total billed charges,,2241.64,2824.35,
CT PANCREAS BX,29102350,CDM,48102,CPT,360,RC,inpatient,TC,3989,3989,,3386.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3007.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3390.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3510.32,88,,percent of total billed charges,,,,,,,,,3047.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3629.99,91,,percent of total billed charges,,,3789.55,95,,percent of total billed charges,,,3310.87,83,,percent of total billed charges,,,3310.87,83,,percent of total billed charges,,,,,,,,,,,,,,,3310.87,83,,percent of total billed charges,,,3789.55,95,,percent of total billed charges,,,3590.1,90,,percent of total billed charges,,,3590.1,90,,percent of total billed charges,,,3270.98,82,,percent of total billed charges,,,3590.1,90,,percent of total billed charges,,,3390.65,85,,percent of total billed charges,,3007.71,3789.55,
CT LOW EXT LEFT W/O,29104166,CDM,73700,CPT,350,RC,inpatient,LT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6,
CT LOW EXT RIGHT W/O,29104167,CDM,73700,CPT,350,RC,inpatient,RT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6,
CT GUIDED THORACENTESIS,29104170,CDM,,,352,RC,inpatient,,2965,2965,,2517.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2235.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2520.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2609.2,88,,percent of total billed charges,,,,,,,,,2265.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2698.15,91,,percent of total billed charges,,,2816.75,95,,percent of total billed charges,,,2460.95,83,,percent of total billed charges,,,2460.95,83,,percent of total billed charges,,,,,,,,,,,,,,,2460.95,83,,percent of total billed charges,,,2816.75,95,,percent of total billed charges,,,2668.5,90,,percent of total billed charges,,,2668.5,90,,percent of total billed charges,,,2431.3,82,,percent of total billed charges,,,2668.5,90,,percent of total billed charges,,,2520.25,85,,percent of total billed charges,,2235.61,2816.75,
CT SCLEROTHERAPY FLUID COLLECTION W/IMG,29104171,CDM,49185,CPT,360,RC,inpatient,,3574,3574,,3034.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2694.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3037.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3145.12,88,,percent of total billed charges,,,,,,,,,2730.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3252.34,91,,percent of total billed charges,,,3395.3,95,,percent of total billed charges,,,2966.42,83,,percent of total billed charges,,,2966.42,83,,percent of total billed charges,,,,,,,,,,,,,,,2966.42,83,,percent of total billed charges,,,3395.3,95,,percent of total billed charges,,,3216.6,90,,percent of total billed charges,,,3216.6,90,,percent of total billed charges,,,2930.68,82,,percent of total billed charges,,,3216.6,90,,percent of total billed charges,,,3037.9,85,,percent of total billed charges,,2694.8,3395.3,
CT SI JTARTHOSTEROIDINJRT,29104180,CDM,27096,CPT,350,RC,inpatient,RT,1757,1757,,1491.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1324.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1493.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1546.16,88,,percent of total billed charges,,,,,,,,,1342.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1598.87,91,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1458.31,83,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1440.74,82,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1493.45,85,,percent of total billed charges,,1324.78,1669.15,
CT SI JTARTHOSTEROIDINJLT,29104181,CDM,27096,CPT,350,RC,inpatient,LT,1757,1757,,1491.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1324.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1493.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1546.16,88,,percent of total billed charges,,,,,,,,,1342.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1598.87,91,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1458.31,83,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1440.74,82,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1493.45,85,,percent of total billed charges,,1324.78,1669.15,
CT SI JTARTHOSTEROIDINJBIL,29104182,CDM,27096,CPT,350,RC,inpatient,50,3513,3513,,2982.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2648.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2986.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3091.44,88,,percent of total billed charges,,,,,,,,,2683.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3196.83,91,,percent of total billed charges,,,3337.35,95,,percent of total billed charges,,,2915.79,83,,percent of total billed charges,,,2915.79,83,,percent of total billed charges,,,,,,,,,,,,,,,2915.79,83,,percent of total billed charges,,,3337.35,95,,percent of total billed charges,,,3161.7,90,,percent of total billed charges,,,3161.7,90,,percent of total billed charges,,,2880.66,82,,percent of total billed charges,,,3161.7,90,,percent of total billed charges,,,2986.05,85,,percent of total billed charges,,2648.8,3337.35,
CT LOW EXT BILATERAL W/O,29104199,CDM,73700,CPT,350,RC,inpatient,50,6647,6647,,5643.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5011.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5649.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5849.36,88,,percent of total billed charges,,,,,,,,,5078.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6048.77,91,,percent of total billed charges,,,6314.65,95,,percent of total billed charges,,,5517.01,83,,percent of total billed charges,,,5517.01,83,,percent of total billed charges,,,,,,,,,,,,,,,5517.01,83,,percent of total billed charges,,,6314.65,95,,percent of total billed charges,,,5982.3,90,,percent of total billed charges,,,5982.3,90,,percent of total billed charges,,,5450.54,82,,percent of total billed charges,,,5982.3,90,,percent of total billed charges,,,5649.95,85,,percent of total billed charges,,5011.84,6314.65,
CT INSERTION OF SUPRAPUBIC CATH,29104200,CDM,51102,CPT,360,RC,inpatient,TC,8003,8003,,6794.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6034.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6802.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7042.64,88,,percent of total billed charges,,,,,,,,,6114.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7282.73,91,,percent of total billed charges,,,7602.85,95,,percent of total billed charges,,,6642.49,83,,percent of total billed charges,,,6642.49,83,,percent of total billed charges,,,,,,,,,,,,,,,6642.49,83,,percent of total billed charges,,,7602.85,95,,percent of total billed charges,,,7202.7,90,,percent of total billed charges,,,7202.7,90,,percent of total billed charges,,,6562.46,82,,percent of total billed charges,,,7202.7,90,,percent of total billed charges,,,6802.55,85,,percent of total billed charges,,6034.26,7602.85,
CT CARDIAC SCORING,29523668,CDM,75571,CPT,352,RC,inpatient,TC,101,101,,85.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,76.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,85.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,88.88,88,,percent of total billed charges,,,,,,,,,77.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,91.91,91,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,,,,,,,,,,,,,83.83,83,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,82.82,82,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,85.85,85,,percent of total billed charges,,76.15,95.95,
PROCEDURE TRAY,932510,CDM,,,270,RC,inpatient,,118,118,,100.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,88.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,100.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,103.84,88,,percent of total billed charges,,,,,,,,,90.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,107.38,91,,percent of total billed charges,,,112.1,95,,percent of total billed charges,,,97.94,83,,percent of total billed charges,,,97.94,83,,percent of total billed charges,,,,,,,,,,,,,,,97.94,83,,percent of total billed charges,,,112.1,95,,percent of total billed charges,,,106.2,90,,percent of total billed charges,,,106.2,90,,percent of total billed charges,,,96.76,82,,percent of total billed charges,,,106.2,90,,percent of total billed charges,,,100.3,85,,percent of total billed charges,,88.97,112.1,
DELIVERY INSTRUMENTS,2332600,CDM,,,270,RC,inpatient,,240,240,,203.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,180.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,204,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,211.2,88,,percent of total billed charges,,,,,,,,,183.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,218.4,91,,percent of total billed charges,,,228,95,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,,,,,,,,,,,,,199.2,83,,percent of total billed charges,,,228,95,,percent of total billed charges,,,216,90,,percent of total billed charges,,,216,90,,percent of total billed charges,,,196.8,82,,percent of total billed charges,,,216,90,,percent of total billed charges,,,204,85,,percent of total billed charges,,180.96,228,
PEEP VALVE,2382047,CDM,,,270,RC,inpatient,,51,51,,43.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44.88,88,,percent of total billed charges,,,,,,,,,38.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.41,91,,percent of total billed charges,,,48.45,95,,percent of total billed charges,,,42.33,83,,percent of total billed charges,,,42.33,83,,percent of total billed charges,,,,,,,,,,,,,,,42.33,83,,percent of total billed charges,,,48.45,95,,percent of total billed charges,,,45.9,90,,percent of total billed charges,,,45.9,90,,percent of total billed charges,,,41.82,82,,percent of total billed charges,,,45.9,90,,percent of total billed charges,,,43.35,85,,percent of total billed charges,,38.45,48.45,
PUMP BREAST HAND HELD,8300001,CDM,,,270,RC,inpatient,,215,215,,182.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,162.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,189.2,88,,percent of total billed charges,,,,,,,,,164.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.65,91,,percent of total billed charges,,,204.25,95,,percent of total billed charges,,,178.45,83,,percent of total billed charges,,,178.45,83,,percent of total billed charges,,,,,,,,,,,,,,,178.45,83,,percent of total billed charges,,,204.25,95,,percent of total billed charges,,,193.5,90,,percent of total billed charges,,,193.5,90,,percent of total billed charges,,,176.3,82,,percent of total billed charges,,,193.5,90,,percent of total billed charges,,,182.75,85,,percent of total billed charges,,162.11,204.25,
CPAP MASK,12801191,CDM,,,270,RC,inpatient,,78,78,,66.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,66.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.64,88,,percent of total billed charges,,,,,,,,,59.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.98,91,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,,,,,,,,,,,,,64.74,83,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,63.96,82,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,66.3,85,,percent of total billed charges,,58.81,74.1,
MDI SPACER,12801670,CDM,,,270,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114,
DISPOSABLE OXYHOOD,12802210,CDM,,,270,RC,inpatient,,56,56,,47.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.28,88,,percent of total billed charges,,,,,,,,,42.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.96,91,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,,,,,,,,,,,,,46.48,83,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,45.92,82,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,47.6,85,,percent of total billed charges,,42.22,53.2,
POSTOP EYE KIT,18300271,CDM,,,270,RC,inpatient,,55,55,,46.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,41.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,46.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,48.4,88,,percent of total billed charges,,,,,,,,,42.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.05,91,,percent of total billed charges,,,52.25,95,,percent of total billed charges,,,45.65,83,,percent of total billed charges,,,45.65,83,,percent of total billed charges,,,,,,,,,,,,,,,45.65,83,,percent of total billed charges,,,52.25,95,,percent of total billed charges,,,49.5,90,,percent of total billed charges,,,49.5,90,,percent of total billed charges,,,45.1,82,,percent of total billed charges,,,49.5,90,,percent of total billed charges,,,46.75,85,,percent of total billed charges,,41.47,52.25,
S&N CONQUEST FX FEM COMP SZ13,18300285,CDM,,,278,RC,inpatient,,9315.28,9315.28,,7908.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7023.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7917.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8197.45,88,,percent of total billed charges,,,,,,,,,7116.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8476.9,91,,percent of total billed charges,,,8849.52,95,,percent of total billed charges,,,7731.68,83,,percent of total billed charges,,,7731.68,83,,percent of total billed charges,,,,,,,,,,,,,,,7731.68,83,,percent of total billed charges,,,8849.52,95,,percent of total billed charges,,,8383.75,90,,percent of total billed charges,,,8383.75,90,,percent of total billed charges,,,7638.53,82,,percent of total billed charges,,,8383.75,90,,percent of total billed charges,,,7917.99,85,,percent of total billed charges,,7023.72,8849.52,
RETRACTOR C-SECTION LGE 9 x 14,18300287,CDM,,,270,RC,inpatient,,602,602,,511.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,453.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,511.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,529.76,88,,percent of total billed charges,,,,,,,,,459.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,547.82,91,,percent of total billed charges,,,571.9,95,,percent of total billed charges,,,499.66,83,,percent of total billed charges,,,499.66,83,,percent of total billed charges,,,,,,,,,,,,,,,499.66,83,,percent of total billed charges,,,571.9,95,,percent of total billed charges,,,541.8,90,,percent of total billed charges,,,541.8,90,,percent of total billed charges,,,493.64,82,,percent of total billed charges,,,541.8,90,,percent of total billed charges,,,511.7,85,,percent of total billed charges,,453.91,571.9,
RETRACTOR C-SECTION XLG 11 x 17,18300288,CDM,,,270,RC,inpatient,,623,623,,528.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,469.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,529.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,548.24,88,,percent of total billed charges,,,,,,,,,475.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,566.93,91,,percent of total billed charges,,,591.85,95,,percent of total billed charges,,,517.09,83,,percent of total billed charges,,,517.09,83,,percent of total billed charges,,,,,,,,,,,,,,,517.09,83,,percent of total billed charges,,,591.85,95,,percent of total billed charges,,,560.7,90,,percent of total billed charges,,,560.7,90,,percent of total billed charges,,,510.86,82,,percent of total billed charges,,,560.7,90,,percent of total billed charges,,,529.55,85,,percent of total billed charges,,469.74,591.85,
LEEP SQUARE ELECTRODE,18300289,CDM,,,270,RC,inpatient,,189.6,189.6,,160.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,142.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.85,88,,percent of total billed charges,,,,,,,,,144.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.54,91,,percent of total billed charges,,,180.12,95,,percent of total billed charges,,,157.37,83,,percent of total billed charges,,,157.37,83,,percent of total billed charges,,,,,,,,,,,,,,,157.37,83,,percent of total billed charges,,,180.12,95,,percent of total billed charges,,,170.64,90,,percent of total billed charges,,,170.64,90,,percent of total billed charges,,,155.47,82,,percent of total billed charges,,,170.64,90,,percent of total billed charges,,,161.16,85,,percent of total billed charges,,142.96,180.12,
LEEP BALL ELECTRODE,18300290,CDM,,,270,RC,inpatient,,189.68,189.68,,161.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,143.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.92,88,,percent of total billed charges,,,,,,,,,144.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.61,91,,percent of total billed charges,,,180.2,95,,percent of total billed charges,,,157.43,83,,percent of total billed charges,,,157.43,83,,percent of total billed charges,,,,,,,,,,,,,,,157.43,83,,percent of total billed charges,,,180.2,95,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,155.54,82,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,161.23,85,,percent of total billed charges,,143.02,180.2,
LEEP RADIUS ELECTRODE 20 X 10,18300291,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81,
NEEDLE BIOPSY TRU CUT 18G X 6,18300295,CDM,,,270,RC,inpatient,,124.08,124.08,,105.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,93.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,105.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,109.19,88,,percent of total billed charges,,,,,,,,,94.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,112.91,91,,percent of total billed charges,,,117.88,95,,percent of total billed charges,,,102.99,83,,percent of total billed charges,,,102.99,83,,percent of total billed charges,,,,,,,,,,,,,,,102.99,83,,percent of total billed charges,,,117.88,95,,percent of total billed charges,,,111.67,90,,percent of total billed charges,,,111.67,90,,percent of total billed charges,,,101.75,82,,percent of total billed charges,,,111.67,90,,percent of total billed charges,,,105.47,85,,percent of total billed charges,,93.56,117.88,
LEEP RADIUS ELECTRODE 2.0 X 0.8,18300296,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81,
LEEP RADIUS ELECTRODE 1.5 X .5CM,18300297,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81,
VIGILON WOUND DRESSING,18304053,CDM,,,270,RC,inpatient,,59,59,,50.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.92,88,,percent of total billed charges,,,,,,,,,45.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.69,91,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,,,,,,,,,,,,,48.97,83,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,48.38,82,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,50.15,85,,percent of total billed charges,,44.49,56.05,
ENDO TROCAR GRIP       0,18307744,CDM,,,270,RC,inpatient,,30,30,,25.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26.4,88,,percent of total billed charges,,,,,,,,,22.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27.3,91,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,,,,,,,,,,,,,24.9,83,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,27,90,,percent of total billed charges,,,27,90,,percent of total billed charges,,,24.6,82,,percent of total billed charges,,,27,90,,percent of total billed charges,,,25.5,85,,percent of total billed charges,,22.62,28.5,
Q HIP REFLECTION LINER (REG),18307928,CDM,,,270,RC,inpatient,,2209,2209,,1875.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1665.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1877.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1943.92,88,,percent of total billed charges,,,,,,,,,1687.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2010.19,91,,percent of total billed charges,,,2098.55,95,,percent of total billed charges,,,1833.47,83,,percent of total billed charges,,,1833.47,83,,percent of total billed charges,,,,,,,,,,,,,,,1833.47,83,,percent of total billed charges,,,2098.55,95,,percent of total billed charges,,,1988.1,90,,percent of total billed charges,,,1988.1,90,,percent of total billed charges,,,1811.38,82,,percent of total billed charges,,,1988.1,90,,percent of total billed charges,,,1877.65,85,,percent of total billed charges,,1665.59,2098.55,
Q HIP REFLECTION CUP,18307929,CDM,,,270,RC,inpatient,,5099,5099,,4329.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3844.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4334.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4487.12,88,,percent of total billed charges,,,,,,,,,3895.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4640.09,91,,percent of total billed charges,,,4844.05,95,,percent of total billed charges,,,4232.17,83,,percent of total billed charges,,,4232.17,83,,percent of total billed charges,,,,,,,,,,,,,,,4232.17,83,,percent of total billed charges,,,4844.05,95,,percent of total billed charges,,,4589.1,90,,percent of total billed charges,,,4589.1,90,,percent of total billed charges,,,4181.18,82,,percent of total billed charges,,,4589.1,90,,percent of total billed charges,,,4334.15,85,,percent of total billed charges,,3844.65,4844.05,
Q UNIVERSAL BI-POLAR 45 MM OD,18307932,CDM,,,270,RC,inpatient,,263,263,,223.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,198.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231.44,88,,percent of total billed charges,,,,,,,,,200.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,239.33,91,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,,,,,,,,,,,,,218.29,83,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,215.66,82,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,223.55,85,,percent of total billed charges,,198.3,249.85,
Q HIP BIPOLAR UNIV. SHELL,18307933,CDM,,,270,RC,inpatient,,4565,4565,,3875.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3442.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3880.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4017.2,88,,percent of total billed charges,,,,,,,,,3487.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4154.15,91,,percent of total billed charges,,,4336.75,95,,percent of total billed charges,,,3788.95,83,,percent of total billed charges,,,3788.95,83,,percent of total billed charges,,,,,,,,,,,,,,,3788.95,83,,percent of total billed charges,,,4336.75,95,,percent of total billed charges,,,4108.5,90,,percent of total billed charges,,,4108.5,90,,percent of total billed charges,,,3743.3,82,,percent of total billed charges,,,4108.5,90,,percent of total billed charges,,,3880.25,85,,percent of total billed charges,,3442.01,4336.75,
SHELL,18307934,CDM,,,270,RC,inpatient,,1646,1646,,1397.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1241.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1399.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1448.48,88,,percent of total billed charges,,,,,,,,,1257.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1497.86,91,,percent of total billed charges,,,1563.7,95,,percent of total billed charges,,,1366.18,83,,percent of total billed charges,,,1366.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1366.18,83,,percent of total billed charges,,,1563.7,95,,percent of total billed charges,,,1481.4,90,,percent of total billed charges,,,1481.4,90,,percent of total billed charges,,,1349.72,82,,percent of total billed charges,,,1481.4,90,,percent of total billed charges,,,1399.1,85,,percent of total billed charges,,1241.08,1563.7,
Q HIP DISTAL CENTRALIZER,18307942,CDM,,,270,RC,inpatient,,555,555,,471.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,418.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,471.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,488.4,88,,percent of total billed charges,,,,,,,,,424.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,505.05,91,,percent of total billed charges,,,527.25,95,,percent of total billed charges,,,460.65,83,,percent of total billed charges,,,460.65,83,,percent of total billed charges,,,,,,,,,,,,,,,460.65,83,,percent of total billed charges,,,527.25,95,,percent of total billed charges,,,499.5,90,,percent of total billed charges,,,499.5,90,,percent of total billed charges,,,455.1,82,,percent of total billed charges,,,499.5,90,,percent of total billed charges,,,471.75,85,,percent of total billed charges,,418.47,527.25,
Q PREP IM TOTAL,18307975,CDM,,,270,RC,inpatient,,837,837,,710.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,631.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,711.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,736.56,88,,percent of total billed charges,,,,,,,,,639.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,761.67,91,,percent of total billed charges,,,795.15,95,,percent of total billed charges,,,694.71,83,,percent of total billed charges,,,694.71,83,,percent of total billed charges,,,,,,,,,,,,,,,694.71,83,,percent of total billed charges,,,795.15,95,,percent of total billed charges,,,753.3,90,,percent of total billed charges,,,753.3,90,,percent of total billed charges,,,686.34,82,,percent of total billed charges,,,753.3,90,,percent of total billed charges,,,711.45,85,,percent of total billed charges,,631.1,795.15,
MIXING BOWL,18307983,CDM,,,270,RC,inpatient,,298,298,,253,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,224.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,253.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,262.24,88,,percent of total billed charges,,,,,,,,,227.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,271.18,91,,percent of total billed charges,,,283.1,95,,percent of total billed charges,,,247.34,83,,percent of total billed charges,,,247.34,83,,percent of total billed charges,,,,,,,,,,,,,,,247.34,83,,percent of total billed charges,,,283.1,95,,percent of total billed charges,,,268.2,90,,percent of total billed charges,,,268.2,90,,percent of total billed charges,,,244.36,82,,percent of total billed charges,,,268.2,90,,percent of total billed charges,,,253.3,85,,percent of total billed charges,,224.69,283.1,
ARTHROTOME,18601088,CDM,,,360,RC,inpatient,,441,441,,374.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,332.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,374.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.08,88,,percent of total billed charges,,,,,,,,,336.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,401.31,91,,percent of total billed charges,,,418.95,95,,percent of total billed charges,,,366.03,83,,percent of total billed charges,,,366.03,83,,percent of total billed charges,,,,,,,,,,,,,,,366.03,83,,percent of total billed charges,,,418.95,95,,percent of total billed charges,,,396.9,90,,percent of total billed charges,,,396.9,90,,percent of total billed charges,,,361.62,82,,percent of total billed charges,,,396.9,90,,percent of total billed charges,,,374.85,85,,percent of total billed charges,,332.51,418.95,
LEEP ACCESSORY,18602005,CDM,,,360,RC,inpatient,,77,77,,65.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.76,88,,percent of total billed charges,,,,,,,,,58.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.07,91,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,,,,,,,,,,,,,63.91,83,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,63.14,82,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,65.45,85,,percent of total billed charges,,58.06,73.15,
HYPERTHERMIA BLANKET,19604033,CDM,,,270,RC,inpatient,,35,35,,29.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.8,88,,percent of total billed charges,,,,,,,,,26.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31.85,91,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,,,,,,,,,,,,,29.05,83,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,28.7,82,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,29.75,85,,percent of total billed charges,,26.39,33.25,
NIPPLE SHIELD,23150017,CDM,,,270,RC,inpatient,,31.05,31.05,,26.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27.32,88,,percent of total billed charges,,,,,,,,,23.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.26,91,,percent of total billed charges,,,29.5,95,,percent of total billed charges,,,25.77,83,,percent of total billed charges,,,25.77,83,,percent of total billed charges,,,,,,,,,,,,,,,25.77,83,,percent of total billed charges,,,29.5,95,,percent of total billed charges,,,27.95,90,,percent of total billed charges,,,27.95,90,,percent of total billed charges,,,25.46,82,,percent of total billed charges,,,27.95,90,,percent of total billed charges,,,26.39,85,,percent of total billed charges,,23.41,29.5,
*DUO DERM GRANULES,23300038,CDM,,,270,RC,inpatient,,34,34,,28.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.92,88,,percent of total billed charges,,,,,,,,,25.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.94,91,,percent of total billed charges,,,32.3,95,,percent of total billed charges,,,28.22,83,,percent of total billed charges,,,28.22,83,,percent of total billed charges,,,,,,,,,,,,,,,28.22,83,,percent of total billed charges,,,32.3,95,,percent of total billed charges,,,30.6,90,,percent of total billed charges,,,30.6,90,,percent of total billed charges,,,27.88,82,,percent of total billed charges,,,30.6,90,,percent of total billed charges,,,28.9,85,,percent of total billed charges,,25.64,32.3,
CAPNOGRAPHY MICROSTREAM TUBING H,23300093,CDM,,,270,RC,inpatient,,111.31,111.31,,94.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,83.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,97.95,88,,percent of total billed charges,,,,,,,,,85.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.29,91,,percent of total billed charges,,,105.74,95,,percent of total billed charges,,,92.39,83,,percent of total billed charges,,,92.39,83,,percent of total billed charges,,,,,,,,,,,,,,,92.39,83,,percent of total billed charges,,,105.74,95,,percent of total billed charges,,,100.18,90,,percent of total billed charges,,,100.18,90,,percent of total billed charges,,,91.27,82,,percent of total billed charges,,,100.18,90,,percent of total billed charges,,,94.61,85,,percent of total billed charges,,83.93,105.74,
RESQPOD CIRCULATORY ENHANCER,23300200,CDM,,,270,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5,
BARD UROLOGIST'S TRAY HEYMAN,23300315,CDM,,,270,RC,inpatient,,1498.19,1498.19,,1271.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1129.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1273.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1318.41,88,,percent of total billed charges,,,,,,,,,1144.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1363.35,91,,percent of total billed charges,,,1423.28,95,,percent of total billed charges,,,1243.5,83,,percent of total billed charges,,,1243.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1243.5,83,,percent of total billed charges,,,1423.28,95,,percent of total billed charges,,,1348.37,90,,percent of total billed charges,,,1348.37,90,,percent of total billed charges,,,1228.52,82,,percent of total billed charges,,,1348.37,90,,percent of total billed charges,,,1273.46,85,,percent of total billed charges,,1129.64,1423.28,
TRAY ARTHOGRAM,23300376,CDM,,,270,RC,inpatient,,75.17,75.17,,63.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,66.15,88,,percent of total billed charges,,,,,,,,,57.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,68.4,91,,percent of total billed charges,,,71.41,95,,percent of total billed charges,,,62.39,83,,percent of total billed charges,,,62.39,83,,percent of total billed charges,,,,,,,,,,,,,,,62.39,83,,percent of total billed charges,,,71.41,95,,percent of total billed charges,,,67.65,90,,percent of total billed charges,,,67.65,90,,percent of total billed charges,,,61.64,82,,percent of total billed charges,,,67.65,90,,percent of total billed charges,,,63.89,85,,percent of total billed charges,,56.68,71.41,
*BRIEFS PROTECTIVE LG,23300422,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7,
BRACE ANKLE REG UNIVERSAL,23300566,CDM,,,270,RC,inpatient,,81.18,81.18,,68.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.44,88,,percent of total billed charges,,,,,,,,,62.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.87,91,,percent of total billed charges,,,77.12,95,,percent of total billed charges,,,67.38,83,,percent of total billed charges,,,67.38,83,,percent of total billed charges,,,,,,,,,,,,,,,67.38,83,,percent of total billed charges,,,77.12,95,,percent of total billed charges,,,73.06,90,,percent of total billed charges,,,73.06,90,,percent of total billed charges,,,66.57,82,,percent of total billed charges,,,73.06,90,,percent of total billed charges,,,69,85,,percent of total billed charges,,61.21,77.12,
*RETROGRADE CAPS,23300574,CDM,,,270,RC,inpatient,,2,2,,1.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1.76,88,,percent of total billed charges,,,,,,,,,1.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1.82,91,,percent of total billed charges,,,1.9,95,,percent of total billed charges,,,1.66,83,,percent of total billed charges,,,1.66,83,,percent of total billed charges,,,,,,,,,,,,,,,1.66,83,,percent of total billed charges,,,1.9,95,,percent of total billed charges,,,1.8,90,,percent of total billed charges,,,1.8,90,,percent of total billed charges,,,1.64,82,,percent of total billed charges,,,1.8,90,,percent of total billed charges,,,1.7,85,,percent of total billed charges,,1.51,1.9,
AMS SPARC SLING SYSTEM,23300575,CDM,,,270,RC,inpatient,,4810,4810,,4083.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3626.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4088.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4232.8,88,,percent of total billed charges,,,,,,,,,3674.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4377.1,91,,percent of total billed charges,,,4569.5,95,,percent of total billed charges,,,3992.3,83,,percent of total billed charges,,,3992.3,83,,percent of total billed charges,,,,,,,,,,,,,,,3992.3,83,,percent of total billed charges,,,4569.5,95,,percent of total billed charges,,,4329,90,,percent of total billed charges,,,4329,90,,percent of total billed charges,,,3944.2,82,,percent of total billed charges,,,4329,90,,percent of total billed charges,,,4088.5,85,,percent of total billed charges,,3626.74,4569.5,
AMS STRAIGHT-IN SYSTEM,23300576,CDM,,,270,RC,inpatient,,9717.5,9717.5,,8250.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7327,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8259.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8551.4,88,,percent of total billed charges,,,,,,,,,7424.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8842.93,91,,percent of total billed charges,,,9231.63,95,,percent of total billed charges,,,8065.53,83,,percent of total billed charges,,,8065.53,83,,percent of total billed charges,,,,,,,,,,,,,,,8065.53,83,,percent of total billed charges,,,9231.63,95,,percent of total billed charges,,,8745.75,90,,percent of total billed charges,,,8745.75,90,,percent of total billed charges,,,7968.35,82,,percent of total billed charges,,,8745.75,90,,percent of total billed charges,,,8259.88,85,,percent of total billed charges,,7327,9231.63,
FEEDING TUBE KANGAROO,23300673,CDM,,,270,RC,inpatient,,40.39,40.39,,34.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.54,88,,percent of total billed charges,,,,,,,,,30.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36.75,91,,percent of total billed charges,,,38.37,95,,percent of total billed charges,,,33.52,83,,percent of total billed charges,,,33.52,83,,percent of total billed charges,,,,,,,,,,,,,,,33.52,83,,percent of total billed charges,,,38.37,95,,percent of total billed charges,,,36.35,90,,percent of total billed charges,,,36.35,90,,percent of total billed charges,,,33.12,82,,percent of total billed charges,,,36.35,90,,percent of total billed charges,,,34.33,85,,percent of total billed charges,,30.45,38.37,
FEEDING TUBE 8 FR,23300674,CDM,,,270,RC,inpatient,,38.25,38.25,,32.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.66,88,,percent of total billed charges,,,,,,,,,29.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.81,91,,percent of total billed charges,,,36.34,95,,percent of total billed charges,,,31.75,83,,percent of total billed charges,,,31.75,83,,percent of total billed charges,,,,,,,,,,,,,,,31.75,83,,percent of total billed charges,,,36.34,95,,percent of total billed charges,,,34.43,90,,percent of total billed charges,,,34.43,90,,percent of total billed charges,,,31.37,82,,percent of total billed charges,,,34.43,90,,percent of total billed charges,,,32.51,85,,percent of total billed charges,,28.84,36.34,
FEEDING TUBE 5 FR,23300676,CDM,,,270,RC,inpatient,,8.01,8.01,,6.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.05,88,,percent of total billed charges,,,,,,,,,6.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.29,91,,percent of total billed charges,,,7.61,95,,percent of total billed charges,,,6.65,83,,percent of total billed charges,,,6.65,83,,percent of total billed charges,,,,,,,,,,,,,,,6.65,83,,percent of total billed charges,,,7.61,95,,percent of total billed charges,,,7.21,90,,percent of total billed charges,,,7.21,90,,percent of total billed charges,,,6.57,82,,percent of total billed charges,,,7.21,90,,percent of total billed charges,,,6.81,85,,percent of total billed charges,,6.04,7.61,
FEEDING TUBE KANGAROO 12FR X 43,23300680,CDM,,,270,RC,inpatient,,66.73,66.73,,56.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58.72,88,,percent of total billed charges,,,,,,,,,50.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60.72,91,,percent of total billed charges,,,63.39,95,,percent of total billed charges,,,55.39,83,,percent of total billed charges,,,55.39,83,,percent of total billed charges,,,,,,,,,,,,,,,55.39,83,,percent of total billed charges,,,63.39,95,,percent of total billed charges,,,60.06,90,,percent of total billed charges,,,60.06,90,,percent of total billed charges,,,54.72,82,,percent of total billed charges,,,60.06,90,,percent of total billed charges,,,56.72,85,,percent of total billed charges,,50.31,63.39,
FEEDING TUBE ATTACHMENT (FTAD),23300685,CDM,,,270,RC,inpatient,,24.93,24.93,,21.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.94,88,,percent of total billed charges,,,,,,,,,19.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.69,91,,percent of total billed charges,,,23.68,95,,percent of total billed charges,,,20.69,83,,percent of total billed charges,,,20.69,83,,percent of total billed charges,,,,,,,,,,,,,,,20.69,83,,percent of total billed charges,,,23.68,95,,percent of total billed charges,,,22.44,90,,percent of total billed charges,,,22.44,90,,percent of total billed charges,,,20.44,82,,percent of total billed charges,,,22.44,90,,percent of total billed charges,,,21.19,85,,percent of total billed charges,,18.8,23.68,
HEEL ELEVATOR UNIVERSAL,23300731,CDM,,,270,RC,inpatient,,218.23,218.23,,185.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,164.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,185.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,192.04,88,,percent of total billed charges,,,,,,,,,166.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,198.59,91,,percent of total billed charges,,,207.32,95,,percent of total billed charges,,,181.13,83,,percent of total billed charges,,,181.13,83,,percent of total billed charges,,,,,,,,,,,,,,,181.13,83,,percent of total billed charges,,,207.32,95,,percent of total billed charges,,,196.41,90,,percent of total billed charges,,,196.41,90,,percent of total billed charges,,,178.95,82,,percent of total billed charges,,,196.41,90,,percent of total billed charges,,,185.5,85,,percent of total billed charges,,164.55,207.32,
TRAY IRRIGATION,23300806,CDM,,,270,RC,inpatient,,14.58,14.58,,12.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12.83,88,,percent of total billed charges,,,,,,,,,11.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.27,91,,percent of total billed charges,,,13.85,95,,percent of total billed charges,,,12.1,83,,percent of total billed charges,,,12.1,83,,percent of total billed charges,,,,,,,,,,,,,,,12.1,83,,percent of total billed charges,,,13.85,95,,percent of total billed charges,,,13.12,90,,percent of total billed charges,,,13.12,90,,percent of total billed charges,,,11.96,82,,percent of total billed charges,,,13.12,90,,percent of total billed charges,,,12.39,85,,percent of total billed charges,,10.99,13.85,
STOMA PASTE ADAPT 2OZ,23300822,CDM,,,270,RC,inpatient,,13.41,13.41,,11.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.8,88,,percent of total billed charges,,,,,,,,,10.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12.2,91,,percent of total billed charges,,,12.74,95,,percent of total billed charges,,,11.13,83,,percent of total billed charges,,,11.13,83,,percent of total billed charges,,,,,,,,,,,,,,,11.13,83,,percent of total billed charges,,,12.74,95,,percent of total billed charges,,,12.07,90,,percent of total billed charges,,,12.07,90,,percent of total billed charges,,,11,82,,percent of total billed charges,,,12.07,90,,percent of total billed charges,,,11.4,85,,percent of total billed charges,,10.11,12.74,
*PAIN SOAKER,23300832,CDM,,,270,RC,inpatient,,1093,1093,,927.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,824.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,929.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,961.84,88,,percent of total billed charges,,,,,,,,,835.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,994.63,91,,percent of total billed charges,,,1038.35,95,,percent of total billed charges,,,907.19,83,,percent of total billed charges,,,907.19,83,,percent of total billed charges,,,,,,,,,,,,,,,907.19,83,,percent of total billed charges,,,1038.35,95,,percent of total billed charges,,,983.7,90,,percent of total billed charges,,,983.7,90,,percent of total billed charges,,,896.26,82,,percent of total billed charges,,,983.7,90,,percent of total billed charges,,,929.05,85,,percent of total billed charges,,824.12,1038.35,
NASO-GASTRIC TUBE HOLDER DALE,23301040,CDM,,,270,RC,inpatient,,32.67,32.67,,27.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28.75,88,,percent of total billed charges,,,,,,,,,24.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29.73,91,,percent of total billed charges,,,31.04,95,,percent of total billed charges,,,27.12,83,,percent of total billed charges,,,27.12,83,,percent of total billed charges,,,,,,,,,,,,,,,27.12,83,,percent of total billed charges,,,31.04,95,,percent of total billed charges,,,29.4,90,,percent of total billed charges,,,29.4,90,,percent of total billed charges,,,26.79,82,,percent of total billed charges,,,29.4,90,,percent of total billed charges,,,27.77,85,,percent of total billed charges,,24.63,31.04,
SLING ARM UNIVERSAL,23301177,CDM,,,270,RC,inpatient,,31.95,31.95,,27.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28.12,88,,percent of total billed charges,,,,,,,,,24.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29.07,91,,percent of total billed charges,,,30.35,95,,percent of total billed charges,,,26.52,83,,percent of total billed charges,,,26.52,83,,percent of total billed charges,,,,,,,,,,,,,,,26.52,83,,percent of total billed charges,,,30.35,95,,percent of total billed charges,,,28.76,90,,percent of total billed charges,,,28.76,90,,percent of total billed charges,,,26.2,82,,percent of total billed charges,,,28.76,90,,percent of total billed charges,,,27.16,85,,percent of total billed charges,,24.09,30.35,
SLING ARM PEDIATRIC,23301180,CDM,,,270,RC,inpatient,,36.63,36.63,,31.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.23,88,,percent of total billed charges,,,,,,,,,27.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.33,91,,percent of total billed charges,,,34.8,95,,percent of total billed charges,,,30.4,83,,percent of total billed charges,,,30.4,83,,percent of total billed charges,,,,,,,,,,,,,,,30.4,83,,percent of total billed charges,,,34.8,95,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,30.04,82,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,31.14,85,,percent of total billed charges,,27.62,34.8,
CLIPVAC TUBING DISP.,23301205,CDM,,,270,RC,inpatient,,74.38,74.38,,63.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,65.45,88,,percent of total billed charges,,,,,,,,,56.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,67.69,91,,percent of total billed charges,,,70.66,95,,percent of total billed charges,,,61.74,83,,percent of total billed charges,,,61.74,83,,percent of total billed charges,,,,,,,,,,,,,,,61.74,83,,percent of total billed charges,,,70.66,95,,percent of total billed charges,,,66.94,90,,percent of total billed charges,,,66.94,90,,percent of total billed charges,,,60.99,82,,percent of total billed charges,,,66.94,90,,percent of total billed charges,,,63.22,85,,percent of total billed charges,,56.08,70.66,
*TRAY SPINAL - LIDOCAINE,23301219,CDM,,,270,RC,inpatient,,87,87,,73.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,65.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,73.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,76.56,88,,percent of total billed charges,,,,,,,,,66.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,79.17,91,,percent of total billed charges,,,82.65,95,,percent of total billed charges,,,72.21,83,,percent of total billed charges,,,72.21,83,,percent of total billed charges,,,,,,,,,,,,,,,72.21,83,,percent of total billed charges,,,82.65,95,,percent of total billed charges,,,78.3,90,,percent of total billed charges,,,78.3,90,,percent of total billed charges,,,71.34,82,,percent of total billed charges,,,78.3,90,,percent of total billed charges,,,73.95,85,,percent of total billed charges,,65.6,82.65,
TRAY SPINAL - PENCAN,23301220,CDM,,,270,RC,inpatient,,174.61,174.61,,148.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,131.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,148.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,153.66,88,,percent of total billed charges,,,,,,,,,133.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,158.9,91,,percent of total billed charges,,,165.88,95,,percent of total billed charges,,,144.93,83,,percent of total billed charges,,,144.93,83,,percent of total billed charges,,,,,,,,,,,,,,,144.93,83,,percent of total billed charges,,,165.88,95,,percent of total billed charges,,,157.15,90,,percent of total billed charges,,,157.15,90,,percent of total billed charges,,,143.18,82,,percent of total billed charges,,,157.15,90,,percent of total billed charges,,,148.42,85,,percent of total billed charges,,131.66,165.88,
SPLINT WRIST COLLES ADULT LF,23301237,CDM,,,270,RC,inpatient,,38.7,38.7,,32.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34.06,88,,percent of total billed charges,,,,,,,,,29.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35.22,91,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,,,,,,,,,,,,,32.12,83,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,31.73,82,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,32.9,85,,percent of total billed charges,,29.18,36.77,
SPLINT WRIST COLLES ADULT RT,23301238,CDM,,,270,RC,inpatient,,38.7,38.7,,32.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34.06,88,,percent of total billed charges,,,,,,,,,29.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35.22,91,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,,,,,,,,,,,,,32.12,83,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,31.73,82,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,32.9,85,,percent of total billed charges,,29.18,36.77,
*SPLINT WRIST COLLES YOUTH R,23301239,CDM,,,270,RC,inpatient,,42,42,,35.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36.96,88,,percent of total billed charges,,,,,,,,,32.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,38.22,91,,percent of total billed charges,,,39.9,95,,percent of total billed charges,,,34.86,83,,percent of total billed charges,,,34.86,83,,percent of total billed charges,,,,,,,,,,,,,,,34.86,83,,percent of total billed charges,,,39.9,95,,percent of total billed charges,,,37.8,90,,percent of total billed charges,,,37.8,90,,percent of total billed charges,,,34.44,82,,percent of total billed charges,,,37.8,90,,percent of total billed charges,,,35.7,85,,percent of total billed charges,,31.67,39.9,
ENDOSCOPIC CAPS,23301267,CDM,,,270,RC,inpatient,,51.43,51.43,,43.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.26,88,,percent of total billed charges,,,,,,,,,39.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.8,91,,percent of total billed charges,,,48.86,95,,percent of total billed charges,,,42.69,83,,percent of total billed charges,,,42.69,83,,percent of total billed charges,,,,,,,,,,,,,,,42.69,83,,percent of total billed charges,,,48.86,95,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,42.17,82,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,43.72,85,,percent of total billed charges,,38.78,48.86,
CAMERA COVER 9 X 96,23301268,CDM,,,270,RC,inpatient,,47.69,47.69,,40.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.97,88,,percent of total billed charges,,,,,,,,,36.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.4,91,,percent of total billed charges,,,45.31,95,,percent of total billed charges,,,39.58,83,,percent of total billed charges,,,39.58,83,,percent of total billed charges,,,,,,,,,,,,,,,39.58,83,,percent of total billed charges,,,45.31,95,,percent of total billed charges,,,42.92,90,,percent of total billed charges,,,42.92,90,,percent of total billed charges,,,39.11,82,,percent of total billed charges,,,42.92,90,,percent of total billed charges,,,40.54,85,,percent of total billed charges,,35.96,45.31,
CATH SUCTION INFANT 5/6FR,23301325,CDM,,,270,RC,inpatient,,2.27,2.27,,1.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2,88,,percent of total billed charges,,,,,,,,,1.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.07,91,,percent of total billed charges,,,2.16,95,,percent of total billed charges,,,1.88,83,,percent of total billed charges,,,1.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1.88,83,,percent of total billed charges,,,2.16,95,,percent of total billed charges,,,2.04,90,,percent of total billed charges,,,2.04,90,,percent of total billed charges,,,1.86,82,,percent of total billed charges,,,2.04,90,,percent of total billed charges,,,1.93,85,,percent of total billed charges,,1.71,2.16,
* SUTURE K831H (V0605),23301384,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
* SUTURE 815H CHROMIC GUT 3 0 (V0205),23301391,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
* SUTURE 1744-41 (V0106),23301400,CDM,,,270,RC,inpatient,,20,20,,16.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17.6,88,,percent of total billed charges,,,,,,,,,15.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18.2,91,,percent of total billed charges,,,19,95,,percent of total billed charges,,,16.6,83,,percent of total billed charges,,,16.6,83,,percent of total billed charges,,,,,,,,,,,,,,,16.6,83,,percent of total billed charges,,,19,95,,percent of total billed charges,,,18,90,,percent of total billed charges,,,18,90,,percent of total billed charges,,,16.4,82,,percent of total billed charges,,,18,90,,percent of total billed charges,,,17,85,,percent of total billed charges,,15.08,19,
* SUTURE*1741-31 (V0205),23301401,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
* SUTURE 1665G (V0205),23301403,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
* SUTURE 8661G PROLENE 5 0 (V0205),23301405,CDM,,,270,RC,inpatient,,212,212,,179.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,180.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,186.56,88,,percent of total billed charges,,,,,,,,,161.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.92,91,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,,,,,,,,,,,,,175.96,83,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,173.84,82,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,180.2,85,,percent of total billed charges,,159.85,201.4,
* SUTURE*1744-31 (V0605),23301413,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
* SUTURE VD-871 (V0205),23301414,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
GUIDEWIRE URO PTFE .038,23301424,CDM,,,270,RC,inpatient,,109.76,109.76,,93.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,82.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,93.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,96.59,88,,percent of total billed charges,,,,,,,,,83.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,99.88,91,,percent of total billed charges,,,104.27,95,,percent of total billed charges,,,91.1,83,,percent of total billed charges,,,91.1,83,,percent of total billed charges,,,,,,,,,,,,,,,91.1,83,,percent of total billed charges,,,104.27,95,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,90,82,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,93.3,85,,percent of total billed charges,,82.76,104.27,
"* VACUUM EXTRACTION, BODY (V0904)",23301429,CDM,93012,CPT,732,RC,inpatient,,146,146,,123.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,110.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,124.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,128.48,88,,percent of total billed charges,,,,,,,,,111.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,132.86,91,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,,,,,,,,,,,,,121.18,83,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,119.72,82,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,124.1,85,,percent of total billed charges,,110.08,138.7,
* VACUUM ATTACHMENT (V0904),23301430,CDM,93012,CPT,732,RC,inpatient,,58,58,,49.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,43.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,49.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.04,88,,percent of total billed charges,,,,,,,,,44.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,52.78,91,,percent of total billed charges,,,55.1,95,,percent of total billed charges,,,48.14,83,,percent of total billed charges,,,48.14,83,,percent of total billed charges,,,,,,,,,,,,,,,48.14,83,,percent of total billed charges,,,55.1,95,,percent of total billed charges,,,52.2,90,,percent of total billed charges,,,52.2,90,,percent of total billed charges,,,47.56,82,,percent of total billed charges,,,52.2,90,,percent of total billed charges,,,49.3,85,,percent of total billed charges,,43.73,55.1,
TRAY TRACH CARE,23301499,CDM,,,270,RC,inpatient,,11.97,11.97,,10.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10.53,88,,percent of total billed charges,,,,,,,,,9.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10.89,91,,percent of total billed charges,,,11.37,95,,percent of total billed charges,,,9.94,83,,percent of total billed charges,,,9.94,83,,percent of total billed charges,,,,,,,,,,,,,,,9.94,83,,percent of total billed charges,,,11.37,95,,percent of total billed charges,,,10.77,90,,percent of total billed charges,,,10.77,90,,percent of total billed charges,,,9.82,82,,percent of total billed charges,,,10.77,90,,percent of total billed charges,,,10.17,85,,percent of total billed charges,,9.03,11.37,
* CENTRAL VENOUS PRESS MONITOR (V0605),23301600,CDM,,,270,RC,inpatient,,46,46,,39.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.48,88,,percent of total billed charges,,,,,,,,,35.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.86,91,,percent of total billed charges,,,43.7,95,,percent of total billed charges,,,38.18,83,,percent of total billed charges,,,38.18,83,,percent of total billed charges,,,,,,,,,,,,,,,38.18,83,,percent of total billed charges,,,43.7,95,,percent of total billed charges,,,41.4,90,,percent of total billed charges,,,41.4,90,,percent of total billed charges,,,37.72,82,,percent of total billed charges,,,41.4,90,,percent of total billed charges,,,39.1,85,,percent of total billed charges,,34.68,43.7,
FLOSEAL,23301649,CDM,,,270,RC,inpatient,,1192.75,1192.75,,1012.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,899.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1013.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1049.62,88,,percent of total billed charges,,,,,,,,,911.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1085.4,91,,percent of total billed charges,,,1133.11,95,,percent of total billed charges,,,989.98,83,,percent of total billed charges,,,989.98,83,,percent of total billed charges,,,,,,,,,,,,,,,989.98,83,,percent of total billed charges,,,1133.11,95,,percent of total billed charges,,,1073.48,90,,percent of total billed charges,,,1073.48,90,,percent of total billed charges,,,978.06,82,,percent of total billed charges,,,1073.48,90,,percent of total billed charges,,,1013.84,85,,percent of total billed charges,,899.33,1133.11,
*TUBE T 18FR,23301673,CDM,,,270,RC,inpatient,,69,69,,58.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60.72,88,,percent of total billed charges,,,,,,,,,52.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62.79,91,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,,,,,,,,,,,,,57.27,83,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,56.58,82,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,58.65,85,,percent of total billed charges,,52.03,65.55,
*TUBE T 24FR,23301676,CDM,,,270,RC,inpatient,,69,69,,58.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60.72,88,,percent of total billed charges,,,,,,,,,52.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62.79,91,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,,,,,,,,,,,,,57.27,83,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,56.58,82,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,58.65,85,,percent of total billed charges,,52.03,65.55,
*URETERAL CATHETER ADAPTORS,23301718,CDM,,,270,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75,
*URETERAL CATHETER WHISTLE 4,23301719,CDM,,,270,RC,inpatient,,59,59,,50.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.92,88,,percent of total billed charges,,,,,,,,,45.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.69,91,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,,,,,,,,,,,,,48.97,83,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,48.38,82,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,50.15,85,,percent of total billed charges,,44.49,56.05,
IV EXTENSION SET W/3-WAY STOPCOCK,23301741,CDM,,,270,RC,inpatient,,23.76,23.76,,20.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.91,88,,percent of total billed charges,,,,,,,,,18.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.62,91,,percent of total billed charges,,,22.57,95,,percent of total billed charges,,,19.72,83,,percent of total billed charges,,,19.72,83,,percent of total billed charges,,,,,,,,,,,,,,,19.72,83,,percent of total billed charges,,,22.57,95,,percent of total billed charges,,,21.38,90,,percent of total billed charges,,,21.38,90,,percent of total billed charges,,,19.48,82,,percent of total billed charges,,,21.38,90,,percent of total billed charges,,,20.2,85,,percent of total billed charges,,17.92,22.57,
* Z/OR (V0405),23301805,CDM,,,270,RC,inpatient,,5476,5476,,4649.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4128.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4654.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4818.88,88,,percent of total billed charges,,,,,,,,,4183.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4983.16,91,,percent of total billed charges,,,5202.2,95,,percent of total billed charges,,,4545.08,83,,percent of total billed charges,,,4545.08,83,,percent of total billed charges,,,,,,,,,,,,,,,4545.08,83,,percent of total billed charges,,,5202.2,95,,percent of total billed charges,,,4928.4,90,,percent of total billed charges,,,4928.4,90,,percent of total billed charges,,,4490.32,82,,percent of total billed charges,,,4928.4,90,,percent of total billed charges,,,4654.6,85,,percent of total billed charges,,4128.9,5202.2,
* Z/OR (V0405),23301806,CDM,,,270,RC,inpatient,,1872,1872,,1589.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1411.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1591.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1647.36,88,,percent of total billed charges,,,,,,,,,1430.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1703.52,91,,percent of total billed charges,,,1778.4,95,,percent of total billed charges,,,1553.76,83,,percent of total billed charges,,,1553.76,83,,percent of total billed charges,,,,,,,,,,,,,,,1553.76,83,,percent of total billed charges,,,1778.4,95,,percent of total billed charges,,,1684.8,90,,percent of total billed charges,,,1684.8,90,,percent of total billed charges,,,1535.04,82,,percent of total billed charges,,,1684.8,90,,percent of total billed charges,,,1591.2,85,,percent of total billed charges,,1411.49,1778.4,
* Z/OR (V0405),23301807,CDM,,,270,RC,inpatient,,1144,1144,,971.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.72,88,,percent of total billed charges,,,,,,,,,874.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1041.04,91,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,,,,,,,,,,,,,949.52,83,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,938.08,82,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,972.4,85,,percent of total billed charges,,862.58,1086.8,
* Z/OR (V0405),23301808,CDM,,,270,RC,inpatient,,406,406,,344.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,306.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,345.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,357.28,88,,percent of total billed charges,,,,,,,,,310.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,369.46,91,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,,,,,,,,,,,,,336.98,83,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,332.92,82,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,345.1,85,,percent of total billed charges,,306.12,385.7,
* Z/OR (V0405),23301836,CDM,,,270,RC,inpatient,,204,204,,173.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,153.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,173.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,179.52,88,,percent of total billed charges,,,,,,,,,155.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,185.64,91,,percent of total billed charges,,,193.8,95,,percent of total billed charges,,,169.32,83,,percent of total billed charges,,,169.32,83,,percent of total billed charges,,,,,,,,,,,,,,,169.32,83,,percent of total billed charges,,,193.8,95,,percent of total billed charges,,,183.6,90,,percent of total billed charges,,,183.6,90,,percent of total billed charges,,,167.28,82,,percent of total billed charges,,,183.6,90,,percent of total billed charges,,,173.4,85,,percent of total billed charges,,153.82,193.8,
* Z/OR (V0405),23301839,CDM,,,270,RC,inpatient,,705,705,,598.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,531.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,599.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,620.4,88,,percent of total billed charges,,,,,,,,,538.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,641.55,91,,percent of total billed charges,,,669.75,95,,percent of total billed charges,,,585.15,83,,percent of total billed charges,,,585.15,83,,percent of total billed charges,,,,,,,,,,,,,,,585.15,83,,percent of total billed charges,,,669.75,95,,percent of total billed charges,,,634.5,90,,percent of total billed charges,,,634.5,90,,percent of total billed charges,,,578.1,82,,percent of total billed charges,,,634.5,90,,percent of total billed charges,,,599.25,85,,percent of total billed charges,,531.57,669.75,
* Z/OR (V0405),23301840,CDM,,,270,RC,inpatient,,1430,1430,,1214.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1078.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1215.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1258.4,88,,percent of total billed charges,,,,,,,,,1092.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1301.3,91,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,,,,,,,,,,,,,1186.9,83,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1172.6,82,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1215.5,85,,percent of total billed charges,,1078.22,1358.5,
* Z/OR (V0405),23301841,CDM,,,270,RC,inpatient,,5605,5605,,4758.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4226.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4764.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4932.4,88,,percent of total billed charges,,,,,,,,,4282.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5100.55,91,,percent of total billed charges,,,5324.75,95,,percent of total billed charges,,,4652.15,83,,percent of total billed charges,,,4652.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4652.15,83,,percent of total billed charges,,,5324.75,95,,percent of total billed charges,,,5044.5,90,,percent of total billed charges,,,5044.5,90,,percent of total billed charges,,,4596.1,82,,percent of total billed charges,,,5044.5,90,,percent of total billed charges,,,4764.25,85,,percent of total billed charges,,4226.17,5324.75,
* Z/OR (V0405),23301842,CDM,,,270,RC,inpatient,,749,749,,635.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,564.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,636.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,659.12,88,,percent of total billed charges,,,,,,,,,572.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,681.59,91,,percent of total billed charges,,,711.55,95,,percent of total billed charges,,,621.67,83,,percent of total billed charges,,,621.67,83,,percent of total billed charges,,,,,,,,,,,,,,,621.67,83,,percent of total billed charges,,,711.55,95,,percent of total billed charges,,,674.1,90,,percent of total billed charges,,,674.1,90,,percent of total billed charges,,,614.18,82,,percent of total billed charges,,,674.1,90,,percent of total billed charges,,,636.65,85,,percent of total billed charges,,564.75,711.55,
* Z/OR (V0405),23301843,CDM,,,270,RC,inpatient,,116,116,,98.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,87.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,98.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,102.08,88,,percent of total billed charges,,,,,,,,,88.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,105.56,91,,percent of total billed charges,,,110.2,95,,percent of total billed charges,,,96.28,83,,percent of total billed charges,,,96.28,83,,percent of total billed charges,,,,,,,,,,,,,,,96.28,83,,percent of total billed charges,,,110.2,95,,percent of total billed charges,,,104.4,90,,percent of total billed charges,,,104.4,90,,percent of total billed charges,,,95.12,82,,percent of total billed charges,,,104.4,90,,percent of total billed charges,,,98.6,85,,percent of total billed charges,,87.46,110.2,
* Z/OR (V0405),23301844,CDM,,,270,RC,inpatient,,1207,1207,,1024.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,910.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1025.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1062.16,88,,percent of total billed charges,,,,,,,,,922.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1098.37,91,,percent of total billed charges,,,1146.65,95,,percent of total billed charges,,,1001.81,83,,percent of total billed charges,,,1001.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1001.81,83,,percent of total billed charges,,,1146.65,95,,percent of total billed charges,,,1086.3,90,,percent of total billed charges,,,1086.3,90,,percent of total billed charges,,,989.74,82,,percent of total billed charges,,,1086.3,90,,percent of total billed charges,,,1025.95,85,,percent of total billed charges,,910.08,1146.65,
* Z/OR (V0405),23301845,CDM,,,270,RC,inpatient,,1001,1001,,849.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,754.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,850.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,880.88,88,,percent of total billed charges,,,,,,,,,764.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,910.91,91,,percent of total billed charges,,,950.95,95,,percent of total billed charges,,,830.83,83,,percent of total billed charges,,,830.83,83,,percent of total billed charges,,,,,,,,,,,,,,,830.83,83,,percent of total billed charges,,,950.95,95,,percent of total billed charges,,,900.9,90,,percent of total billed charges,,,900.9,90,,percent of total billed charges,,,820.82,82,,percent of total billed charges,,,900.9,90,,percent of total billed charges,,,850.85,85,,percent of total billed charges,,754.75,950.95,
*PENROSE TUBING 5/8,23301945,CDM,,,270,RC,inpatient,,17,17,,14.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.96,88,,percent of total billed charges,,,,,,,,,12.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.47,91,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,,,,,,,,,,,,,14.11,83,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,13.94,82,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,14.45,85,,percent of total billed charges,,12.82,16.15,
*PENROSE TUBING 1,23301946,CDM,,,270,RC,inpatient,,7,7,,5.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6.16,88,,percent of total billed charges,,,,,,,,,5.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6.37,91,,percent of total billed charges,,,6.65,95,,percent of total billed charges,,,5.81,83,,percent of total billed charges,,,5.81,83,,percent of total billed charges,,,,,,,,,,,,,,,5.81,83,,percent of total billed charges,,,6.65,95,,percent of total billed charges,,,6.3,90,,percent of total billed charges,,,6.3,90,,percent of total billed charges,,,5.74,82,,percent of total billed charges,,,6.3,90,,percent of total billed charges,,,5.95,85,,percent of total billed charges,,5.28,6.65,
DRAIN PENROSE TUBING 1/2,23301947,CDM,,,270,RC,inpatient,,9.27,9.27,,7.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8.16,88,,percent of total billed charges,,,,,,,,,7.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8.44,91,,percent of total billed charges,,,8.81,95,,percent of total billed charges,,,7.69,83,,percent of total billed charges,,,7.69,83,,percent of total billed charges,,,,,,,,,,,,,,,7.69,83,,percent of total billed charges,,,8.81,95,,percent of total billed charges,,,8.34,90,,percent of total billed charges,,,8.34,90,,percent of total billed charges,,,7.6,82,,percent of total billed charges,,,8.34,90,,percent of total billed charges,,,7.88,85,,percent of total billed charges,,6.99,8.81,
DRAIN PENROSE TUBING 1,23301949,CDM,,,270,RC,inpatient,,13.86,13.86,,11.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12.2,88,,percent of total billed charges,,,,,,,,,10.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12.61,91,,percent of total billed charges,,,13.17,95,,percent of total billed charges,,,11.5,83,,percent of total billed charges,,,11.5,83,,percent of total billed charges,,,,,,,,,,,,,,,11.5,83,,percent of total billed charges,,,13.17,95,,percent of total billed charges,,,12.47,90,,percent of total billed charges,,,12.47,90,,percent of total billed charges,,,11.37,82,,percent of total billed charges,,,12.47,90,,percent of total billed charges,,,11.78,85,,percent of total billed charges,,10.45,13.17,
*SARATOGA SUMP DRAIN 12FR 48,23301965,CDM,,,270,RC,inpatient,,181,181,,153.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,136.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,153.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,159.28,88,,percent of total billed charges,,,,,,,,,138.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,164.71,91,,percent of total billed charges,,,171.95,95,,percent of total billed charges,,,150.23,83,,percent of total billed charges,,,150.23,83,,percent of total billed charges,,,,,,,,,,,,,,,150.23,83,,percent of total billed charges,,,171.95,95,,percent of total billed charges,,,162.9,90,,percent of total billed charges,,,162.9,90,,percent of total billed charges,,,148.42,82,,percent of total billed charges,,,162.9,90,,percent of total billed charges,,,153.85,85,,percent of total billed charges,,136.47,171.95,
*SARATOGA SUMP DRAIN 14FR 48,23301966,CDM,,,270,RC,inpatient,,171,171,,145.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,128.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,145.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,150.48,88,,percent of total billed charges,,,,,,,,,130.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,155.61,91,,percent of total billed charges,,,162.45,95,,percent of total billed charges,,,141.93,83,,percent of total billed charges,,,141.93,83,,percent of total billed charges,,,,,,,,,,,,,,,141.93,83,,percent of total billed charges,,,162.45,95,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,140.22,82,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,145.35,85,,percent of total billed charges,,128.93,162.45,
*BILE BAG SMALL,23301994,CDM,,,270,RC,inpatient,,85,85,,72.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,64.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,72.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,74.8,88,,percent of total billed charges,,,,,,,,,64.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,77.35,91,,percent of total billed charges,,,80.75,95,,percent of total billed charges,,,70.55,83,,percent of total billed charges,,,70.55,83,,percent of total billed charges,,,,,,,,,,,,,,,70.55,83,,percent of total billed charges,,,80.75,95,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,69.7,82,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,72.25,85,,percent of total billed charges,,64.09,80.75,
*TRACH 3.0 CUFFED,23302018,CDM,,,270,RC,inpatient,,13,13,,11.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.44,88,,percent of total billed charges,,,,,,,,,9.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.83,91,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,,,,,,,,,,,,,10.79,83,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,10.66,82,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.05,85,,percent of total billed charges,,9.8,12.35,
TRACH 4.0 CUFFED,23302020,CDM,,,270,RC,inpatient,,15.55,15.55,,13.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.68,88,,percent of total billed charges,,,,,,,,,11.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.15,91,,percent of total billed charges,,,14.77,95,,percent of total billed charges,,,12.91,83,,percent of total billed charges,,,12.91,83,,percent of total billed charges,,,,,,,,,,,,,,,12.91,83,,percent of total billed charges,,,14.77,95,,percent of total billed charges,,,14,90,,percent of total billed charges,,,14,90,,percent of total billed charges,,,12.75,82,,percent of total billed charges,,,14,90,,percent of total billed charges,,,13.22,85,,percent of total billed charges,,11.72,14.77,
TRACH 4.5 CUFFED,23302021,CDM,,,270,RC,inpatient,,16.79,16.79,,14.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.78,88,,percent of total billed charges,,,,,,,,,12.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.28,91,,percent of total billed charges,,,15.95,95,,percent of total billed charges,,,13.94,83,,percent of total billed charges,,,13.94,83,,percent of total billed charges,,,,,,,,,,,,,,,13.94,83,,percent of total billed charges,,,15.95,95,,percent of total billed charges,,,15.11,90,,percent of total billed charges,,,15.11,90,,percent of total billed charges,,,13.77,82,,percent of total billed charges,,,15.11,90,,percent of total billed charges,,,14.27,85,,percent of total billed charges,,12.66,15.95,
TRACH 5.0 UNCUFFED,23302022,CDM,,,270,RC,inpatient,,16.2,16.2,,13.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.26,88,,percent of total billed charges,,,,,,,,,12.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.74,91,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,,,,,,,,,,,,,13.45,83,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.28,82,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.77,85,,percent of total billed charges,,12.21,15.39,
TRACH 5.5 CUFFED,23302023,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47,
TRACH 6.0 CUFFED,23302024,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47,
TRACH 7.0 CUFFED,23302027,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47,
TRACH 7.5 CUFFED,23302028,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47,
TRACH 8.0 CUFFED,23302029,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47,
*TRACH 8.5 CUFFED,23302030,CDM,,,270,RC,inpatient,,15,15,,12.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.2,88,,percent of total billed charges,,,,,,,,,11.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.65,91,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,,,,,,,,,,,,,12.45,83,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.3,82,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.75,85,,percent of total billed charges,,11.31,14.25,
*TRACH 2.0  CUFFED,23302032,CDM,,,270,RC,inpatient,,8,8,,6.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.04,88,,percent of total billed charges,,,,,,,,,6.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.28,91,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,,,,,,,,,,,,,6.64,83,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.56,82,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.8,85,,percent of total billed charges,,6.03,7.6,
TRACH 3.0 UNCUFFED,23302035,CDM,,,270,RC,inpatient,,8.63,8.63,,7.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.59,88,,percent of total billed charges,,,,,,,,,6.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.85,91,,percent of total billed charges,,,8.2,95,,percent of total billed charges,,,7.16,83,,percent of total billed charges,,,7.16,83,,percent of total billed charges,,,,,,,,,,,,,,,7.16,83,,percent of total billed charges,,,8.2,95,,percent of total billed charges,,,7.77,90,,percent of total billed charges,,,7.77,90,,percent of total billed charges,,,7.08,82,,percent of total billed charges,,,7.77,90,,percent of total billed charges,,,7.34,85,,percent of total billed charges,,6.51,8.2,
TRACH 5.0 CUFFED,23302037,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47,
TRACH 2.5 UNCUFFED,23302040,CDM,,,270,RC,inpatient,,29.29,29.29,,24.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25.78,88,,percent of total billed charges,,,,,,,,,22.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26.65,91,,percent of total billed charges,,,27.83,95,,percent of total billed charges,,,24.31,83,,percent of total billed charges,,,24.31,83,,percent of total billed charges,,,,,,,,,,,,,,,24.31,83,,percent of total billed charges,,,27.83,95,,percent of total billed charges,,,26.36,90,,percent of total billed charges,,,26.36,90,,percent of total billed charges,,,24.02,82,,percent of total billed charges,,,26.36,90,,percent of total billed charges,,,24.9,85,,percent of total billed charges,,22.08,27.83,
TRACH 3.5 UNCUFFED,23302041,CDM,,,270,RC,inpatient,,9.99,9.99,,8.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8.79,88,,percent of total billed charges,,,,,,,,,7.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.09,91,,percent of total billed charges,,,9.49,95,,percent of total billed charges,,,8.29,83,,percent of total billed charges,,,8.29,83,,percent of total billed charges,,,,,,,,,,,,,,,8.29,83,,percent of total billed charges,,,9.49,95,,percent of total billed charges,,,8.99,90,,percent of total billed charges,,,8.99,90,,percent of total billed charges,,,8.19,82,,percent of total billed charges,,,8.99,90,,percent of total billed charges,,,8.49,85,,percent of total billed charges,,7.53,9.49,
TRACH 4.5 UNCUFFED,23302043,CDM,,,270,RC,inpatient,,16.2,16.2,,13.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.26,88,,percent of total billed charges,,,,,,,,,12.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.74,91,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,,,,,,,,,,,,,13.45,83,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.28,82,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.77,85,,percent of total billed charges,,12.21,15.39,
*U CYSTOFLO URINE DRAIN BAG,23302059,CDM,,,270,RC,inpatient,,26,26,,22.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22.88,88,,percent of total billed charges,,,,,,,,,19.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23.66,91,,percent of total billed charges,,,24.7,95,,percent of total billed charges,,,21.58,83,,percent of total billed charges,,,21.58,83,,percent of total billed charges,,,,,,,,,,,,,,,21.58,83,,percent of total billed charges,,,24.7,95,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,21.32,82,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,22.1,85,,percent of total billed charges,,19.6,24.7,
URETERAL DILATATION SET,23302067,CDM,,,270,RC,inpatient,,1605,1605,,1362.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1210.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1364.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1412.4,88,,percent of total billed charges,,,,,,,,,1226.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1460.55,91,,percent of total billed charges,,,1524.75,95,,percent of total billed charges,,,1332.15,83,,percent of total billed charges,,,1332.15,83,,percent of total billed charges,,,,,,,,,,,,,,,1332.15,83,,percent of total billed charges,,,1524.75,95,,percent of total billed charges,,,1444.5,90,,percent of total billed charges,,,1444.5,90,,percent of total billed charges,,,1316.1,82,,percent of total billed charges,,,1444.5,90,,percent of total billed charges,,,1364.25,85,,percent of total billed charges,,1210.17,1524.75,
URO DRAIN BAG (CASTLE),23302076,CDM,,,270,RC,inpatient,,77,77,,65.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.76,88,,percent of total billed charges,,,,,,,,,58.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.07,91,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,,,,,,,,,,,,,63.91,83,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,63.14,82,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,65.45,85,,percent of total billed charges,,58.06,73.15,
TAPE UMBILICAL 1/8 X 30,23302117,CDM,,,270,RC,inpatient,,12.98,12.98,,11.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.42,88,,percent of total billed charges,,,,,,,,,9.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.81,91,,percent of total billed charges,,,12.33,95,,percent of total billed charges,,,10.77,83,,percent of total billed charges,,,10.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10.77,83,,percent of total billed charges,,,12.33,95,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,10.64,82,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,11.03,85,,percent of total billed charges,,9.79,12.33,
*TROCAR CATHETER 24FR 16,23302148,CDM,,,270,RC,inpatient,,136,136,,115.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,102.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,115.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,119.68,88,,percent of total billed charges,,,,,,,,,103.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,123.76,91,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,,,,,,,,,,,,,112.88,83,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,111.52,82,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,115.6,85,,percent of total billed charges,,102.54,129.2,
MESH PERFIX PLUG LARGE,23302380,CDM,,,270,RC,inpatient,,962,962,,816.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,725.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,817.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,846.56,88,,percent of total billed charges,,,,,,,,,734.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,875.42,91,,percent of total billed charges,,,913.9,95,,percent of total billed charges,,,798.46,83,,percent of total billed charges,,,798.46,83,,percent of total billed charges,,,,,,,,,,,,,,,798.46,83,,percent of total billed charges,,,913.9,95,,percent of total billed charges,,,865.8,90,,percent of total billed charges,,,865.8,90,,percent of total billed charges,,,788.84,82,,percent of total billed charges,,,865.8,90,,percent of total billed charges,,,817.7,85,,percent of total billed charges,,725.35,913.9,
MESH PERFIX PLUG SMALL,23302385,CDM,,,270,RC,inpatient,,932.75,932.75,,791.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,703.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,792.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,820.82,88,,percent of total billed charges,,,,,,,,,712.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,848.8,91,,percent of total billed charges,,,886.11,95,,percent of total billed charges,,,774.18,83,,percent of total billed charges,,,774.18,83,,percent of total billed charges,,,,,,,,,,,,,,,774.18,83,,percent of total billed charges,,,886.11,95,,percent of total billed charges,,,839.48,90,,percent of total billed charges,,,839.48,90,,percent of total billed charges,,,764.86,82,,percent of total billed charges,,,839.48,90,,percent of total billed charges,,,792.84,85,,percent of total billed charges,,703.29,886.11,
SPLINT NASAL DOYLE II,23302430,CDM,,,270,RC,inpatient,,532,532,,451.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,401.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,452.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,468.16,88,,percent of total billed charges,,,,,,,,,406.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,484.12,91,,percent of total billed charges,,,505.4,95,,percent of total billed charges,,,441.56,83,,percent of total billed charges,,,441.56,83,,percent of total billed charges,,,,,,,,,,,,,,,441.56,83,,percent of total billed charges,,,505.4,95,,percent of total billed charges,,,478.8,90,,percent of total billed charges,,,478.8,90,,percent of total billed charges,,,436.24,82,,percent of total billed charges,,,478.8,90,,percent of total billed charges,,,452.2,85,,percent of total billed charges,,401.13,505.4,
TOURNI-COT SIZE LARGE,23302450,CDM,,,270,RC,inpatient,,28.33,28.33,,24.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24.93,88,,percent of total billed charges,,,,,,,,,21.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25.78,91,,percent of total billed charges,,,26.91,95,,percent of total billed charges,,,23.51,83,,percent of total billed charges,,,23.51,83,,percent of total billed charges,,,,,,,,,,,,,,,23.51,83,,percent of total billed charges,,,26.91,95,,percent of total billed charges,,,25.5,90,,percent of total billed charges,,,25.5,90,,percent of total billed charges,,,23.23,82,,percent of total billed charges,,,25.5,90,,percent of total billed charges,,,24.08,85,,percent of total billed charges,,21.36,26.91,
*RUBBER BAND STERILE 3,23302497,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8,
TRAY THORACENTESIS - ARROW,23302505,CDM,,,270,RC,inpatient,,667.88,667.88,,567.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,503.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,567.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,587.73,88,,percent of total billed charges,,,,,,,,,510.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,607.77,91,,percent of total billed charges,,,634.49,95,,percent of total billed charges,,,554.34,83,,percent of total billed charges,,,554.34,83,,percent of total billed charges,,,,,,,,,,,,,,,554.34,83,,percent of total billed charges,,,634.49,95,,percent of total billed charges,,,601.09,90,,percent of total billed charges,,,601.09,90,,percent of total billed charges,,,547.66,82,,percent of total billed charges,,,601.09,90,,percent of total billed charges,,,567.7,85,,percent of total billed charges,,503.58,634.49,
TUBE EAR REUTER BOBBIN BLUE 1.14MM,23302580,CDM,,,270,RC,inpatient,,195.2,195.2,,165.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,165.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,171.78,88,,percent of total billed charges,,,,,,,,,149.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,177.63,91,,percent of total billed charges,,,185.44,95,,percent of total billed charges,,,162.02,83,,percent of total billed charges,,,162.02,83,,percent of total billed charges,,,,,,,,,,,,,,,162.02,83,,percent of total billed charges,,,185.44,95,,percent of total billed charges,,,175.68,90,,percent of total billed charges,,,175.68,90,,percent of total billed charges,,,160.06,82,,percent of total billed charges,,,175.68,90,,percent of total billed charges,,,165.92,85,,percent of total billed charges,,147.18,185.44,
TUBE EAR GOODE-T 1.14MM X 6MM,23302596,CDM,,,270,RC,inpatient,,348,348,,295.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,262.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,295.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,306.24,88,,percent of total billed charges,,,,,,,,,265.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,316.68,91,,percent of total billed charges,,,330.6,95,,percent of total billed charges,,,288.84,83,,percent of total billed charges,,,288.84,83,,percent of total billed charges,,,,,,,,,,,,,,,288.84,83,,percent of total billed charges,,,330.6,95,,percent of total billed charges,,,313.2,90,,percent of total billed charges,,,313.2,90,,percent of total billed charges,,,285.36,82,,percent of total billed charges,,,313.2,90,,percent of total billed charges,,,295.8,85,,percent of total billed charges,,262.39,330.6,
TUBE EAR RICHARDS 1.32MM,23302598,CDM,,,270,RC,inpatient,,193.12,193.12,,163.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,145.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,164.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,169.95,88,,percent of total billed charges,,,,,,,,,147.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,175.74,91,,percent of total billed charges,,,183.46,95,,percent of total billed charges,,,160.29,83,,percent of total billed charges,,,160.29,83,,percent of total billed charges,,,,,,,,,,,,,,,160.29,83,,percent of total billed charges,,,183.46,95,,percent of total billed charges,,,173.81,90,,percent of total billed charges,,,173.81,90,,percent of total billed charges,,,158.36,82,,percent of total billed charges,,,173.81,90,,percent of total billed charges,,,164.15,85,,percent of total billed charges,,145.61,183.46,
TRACTION BOOT UNIVERSAL,23302729,CDM,,,270,RC,inpatient,,104.48,104.48,,88.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,78.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,88.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,91.94,88,,percent of total billed charges,,,,,,,,,79.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,95.08,91,,percent of total billed charges,,,99.26,95,,percent of total billed charges,,,86.72,83,,percent of total billed charges,,,86.72,83,,percent of total billed charges,,,,,,,,,,,,,,,86.72,83,,percent of total billed charges,,,99.26,95,,percent of total billed charges,,,94.03,90,,percent of total billed charges,,,94.03,90,,percent of total billed charges,,,85.67,82,,percent of total billed charges,,,94.03,90,,percent of total billed charges,,,88.81,85,,percent of total billed charges,,78.78,99.26,
ABDUCTION PILLOW  HIP UNIVERSAL,23302802,CDM,,,270,RC,inpatient,,129.84,129.84,,110.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,97.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,110.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,114.26,88,,percent of total billed charges,,,,,,,,,99.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,118.15,91,,percent of total billed charges,,,123.35,95,,percent of total billed charges,,,107.77,83,,percent of total billed charges,,,107.77,83,,percent of total billed charges,,,,,,,,,,,,,,,107.77,83,,percent of total billed charges,,,123.35,95,,percent of total billed charges,,,116.86,90,,percent of total billed charges,,,116.86,90,,percent of total billed charges,,,106.47,82,,percent of total billed charges,,,116.86,90,,percent of total billed charges,,,110.36,85,,percent of total billed charges,,97.9,123.35,
AIRWAY NASO PVC 26FR,23302835,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99,
AIRWAY NASO PVC 30FR,23302836,CDM,,,270,RC,inpatient,,24.68,24.68,,20.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.72,88,,percent of total billed charges,,,,,,,,,18.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.46,91,,percent of total billed charges,,,23.45,95,,percent of total billed charges,,,20.48,83,,percent of total billed charges,,,20.48,83,,percent of total billed charges,,,,,,,,,,,,,,,20.48,83,,percent of total billed charges,,,23.45,95,,percent of total billed charges,,,22.21,90,,percent of total billed charges,,,22.21,90,,percent of total billed charges,,,20.24,82,,percent of total billed charges,,,22.21,90,,percent of total billed charges,,,20.98,85,,percent of total billed charges,,18.61,23.45,
AIRWAY GUEDEL 50MM,23302838,CDM,,,270,RC,inpatient,,3.56,3.56,,3.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.13,88,,percent of total billed charges,,,,,,,,,2.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.24,91,,percent of total billed charges,,,3.38,95,,percent of total billed charges,,,2.95,83,,percent of total billed charges,,,2.95,83,,percent of total billed charges,,,,,,,,,,,,,,,2.95,83,,percent of total billed charges,,,3.38,95,,percent of total billed charges,,,3.2,90,,percent of total billed charges,,,3.2,90,,percent of total billed charges,,,2.92,82,,percent of total billed charges,,,3.2,90,,percent of total billed charges,,,3.03,85,,percent of total billed charges,,2.68,3.38,
AIRWAY NASO PVC 24FR,23302840,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99,
AIRWAY NASO PVC 28FR,23302841,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99,
AIRWAY NASO PVC 20FR,23302842,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99,
AIRWAY NASO PVC 22FR,23302843,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99,
PEAK FLOW METER W/ INSTRUCTIONS,23302901,CDM,,,270,RC,inpatient,,67.61,67.61,,57.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.5,88,,percent of total billed charges,,,,,,,,,51.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.53,91,,percent of total billed charges,,,64.23,95,,percent of total billed charges,,,56.12,83,,percent of total billed charges,,,56.12,83,,percent of total billed charges,,,,,,,,,,,,,,,56.12,83,,percent of total billed charges,,,64.23,95,,percent of total billed charges,,,60.85,90,,percent of total billed charges,,,60.85,90,,percent of total billed charges,,,55.44,82,,percent of total billed charges,,,60.85,90,,percent of total billed charges,,,57.47,85,,percent of total billed charges,,50.98,64.23,
CERVICAL COLLAR UNIVERSAL,23302920,CDM,,,270,RC,inpatient,,23.49,23.49,,19.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.67,88,,percent of total billed charges,,,,,,,,,17.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.38,91,,percent of total billed charges,,,22.32,95,,percent of total billed charges,,,19.5,83,,percent of total billed charges,,,19.5,83,,percent of total billed charges,,,,,,,,,,,,,,,19.5,83,,percent of total billed charges,,,22.32,95,,percent of total billed charges,,,21.14,90,,percent of total billed charges,,,21.14,90,,percent of total billed charges,,,19.26,82,,percent of total billed charges,,,21.14,90,,percent of total billed charges,,,19.97,85,,percent of total billed charges,,17.71,22.32,
PLEUREVAC DRAIN SET,23302927,CDM,,,270,RC,inpatient,,250.1,250.1,,212.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,188.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,212.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,220.09,88,,percent of total billed charges,,,,,,,,,191.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,227.59,91,,percent of total billed charges,,,237.6,95,,percent of total billed charges,,,207.58,83,,percent of total billed charges,,,207.58,83,,percent of total billed charges,,,,,,,,,,,,,,,207.58,83,,percent of total billed charges,,,237.6,95,,percent of total billed charges,,,225.09,90,,percent of total billed charges,,,225.09,90,,percent of total billed charges,,,205.08,82,,percent of total billed charges,,,225.09,90,,percent of total billed charges,,,212.59,85,,percent of total billed charges,,188.58,237.6,
*STOMA POWDER ADAPT 1OZ,23302968,CDM,,,270,RC,inpatient,,30,30,,25.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26.4,88,,percent of total billed charges,,,,,,,,,22.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27.3,91,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,,,,,,,,,,,,,24.9,83,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,27,90,,percent of total billed charges,,,27,90,,percent of total billed charges,,,24.6,82,,percent of total billed charges,,,27,90,,percent of total billed charges,,,25.5,85,,percent of total billed charges,,22.62,28.5,
*SOCK AID,23303012,CDM,,,270,RC,inpatient,,52,52,,44.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.76,88,,percent of total billed charges,,,,,,,,,39.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.32,91,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,,,,,,,,,,,,,43.16,83,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,42.64,82,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,44.2,85,,percent of total billed charges,,39.21,49.4,
REACHER 26  LONG,23303014,CDM,,,270,RC,inpatient,,35.19,35.19,,29.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.97,88,,percent of total billed charges,,,,,,,,,26.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32.02,91,,percent of total billed charges,,,33.43,95,,percent of total billed charges,,,29.21,83,,percent of total billed charges,,,29.21,83,,percent of total billed charges,,,,,,,,,,,,,,,29.21,83,,percent of total billed charges,,,33.43,95,,percent of total billed charges,,,31.67,90,,percent of total billed charges,,,31.67,90,,percent of total billed charges,,,28.86,82,,percent of total billed charges,,,31.67,90,,percent of total billed charges,,,29.91,85,,percent of total billed charges,,26.53,33.43,
*DIALYSIS TRAY,23303016,CDM,,,270,RC,inpatient,,114,114,,96.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,85.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,96.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,100.32,88,,percent of total billed charges,,,,,,,,,87.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,103.74,91,,percent of total billed charges,,,108.3,95,,percent of total billed charges,,,94.62,83,,percent of total billed charges,,,94.62,83,,percent of total billed charges,,,,,,,,,,,,,,,94.62,83,,percent of total billed charges,,,108.3,95,,percent of total billed charges,,,102.6,90,,percent of total billed charges,,,102.6,90,,percent of total billed charges,,,93.48,82,,percent of total billed charges,,,102.6,90,,percent of total billed charges,,,96.9,85,,percent of total billed charges,,85.96,108.3,
LEG LIFTER NAVY 42  REGULAR,23303018,CDM,,,270,RC,inpatient,,72.25,72.25,,61.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,54.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,61.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,63.58,88,,percent of total billed charges,,,,,,,,,55.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,65.75,91,,percent of total billed charges,,,68.64,95,,percent of total billed charges,,,59.97,83,,percent of total billed charges,,,59.97,83,,percent of total billed charges,,,,,,,,,,,,,,,59.97,83,,percent of total billed charges,,,68.64,95,,percent of total billed charges,,,65.03,90,,percent of total billed charges,,,65.03,90,,percent of total billed charges,,,59.25,82,,percent of total billed charges,,,65.03,90,,percent of total billed charges,,,61.41,85,,percent of total billed charges,,54.48,68.64,
*TOILET SEAT RAISED,23303024,CDM,,,270,RC,inpatient,,182,182,,154.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,137.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,154.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,160.16,88,,percent of total billed charges,,,,,,,,,139.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,165.62,91,,percent of total billed charges,,,172.9,95,,percent of total billed charges,,,151.06,83,,percent of total billed charges,,,151.06,83,,percent of total billed charges,,,,,,,,,,,,,,,151.06,83,,percent of total billed charges,,,172.9,95,,percent of total billed charges,,,163.8,90,,percent of total billed charges,,,163.8,90,,percent of total billed charges,,,149.24,82,,percent of total billed charges,,,163.8,90,,percent of total billed charges,,,154.7,85,,percent of total billed charges,,137.23,172.9,
*COMBIDERM 6X10,23303119,CDM,,,270,RC,inpatient,,52,52,,44.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.76,88,,percent of total billed charges,,,,,,,,,39.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.32,91,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,,,,,,,,,,,,,43.16,83,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,42.64,82,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,44.2,85,,percent of total billed charges,,39.21,49.4,
*COMBIDERM 4X4 W/BORDER,23303120,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
*COMBIDERM 6X7,23303121,CDM,,,270,RC,inpatient,,38,38,,32.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.44,88,,percent of total billed charges,,,,,,,,,29.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.58,91,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,,,,,,,,,,,,,31.54,83,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,31.16,82,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,32.3,85,,percent of total billed charges,,28.65,36.1,
*COMBIDERM 5.25 X 5.25,23303122,CDM,,,270,RC,inpatient,,59,59,,50.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.92,88,,percent of total billed charges,,,,,,,,,45.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.69,91,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,,,,,,,,,,,,,48.97,83,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,48.38,82,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,50.15,85,,percent of total billed charges,,44.49,56.05,
*COMBIDERM 5.25 X 5.25 W/BORDER,23303124,CDM,,,270,RC,inpatient,,31,31,,26.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27.28,88,,percent of total billed charges,,,,,,,,,23.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.21,91,,percent of total billed charges,,,29.45,95,,percent of total billed charges,,,25.73,83,,percent of total billed charges,,,25.73,83,,percent of total billed charges,,,,,,,,,,,,,,,25.73,83,,percent of total billed charges,,,29.45,95,,percent of total billed charges,,,27.9,90,,percent of total billed charges,,,27.9,90,,percent of total billed charges,,,25.42,82,,percent of total billed charges,,,27.9,90,,percent of total billed charges,,,26.35,85,,percent of total billed charges,,23.37,29.45,
KCI CANISTER M6275063,23303129,CDM,,,270,RC,inpatient,,318.68,318.68,,270.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,240.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,270.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,280.44,88,,percent of total billed charges,,,,,,,,,243.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,290,91,,percent of total billed charges,,,302.75,95,,percent of total billed charges,,,264.5,83,,percent of total billed charges,,,264.5,83,,percent of total billed charges,,,,,,,,,,,,,,,264.5,83,,percent of total billed charges,,,302.75,95,,percent of total billed charges,,,286.81,90,,percent of total billed charges,,,286.81,90,,percent of total billed charges,,,261.32,82,,percent of total billed charges,,,286.81,90,,percent of total billed charges,,,270.88,85,,percent of total billed charges,,240.28,302.75,
KCI GRANUFOAM SM M6275051,23303132,CDM,,,270,RC,inpatient,,300.08,300.08,,254.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,226.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,255.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,264.07,88,,percent of total billed charges,,,,,,,,,229.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,273.07,91,,percent of total billed charges,,,285.08,95,,percent of total billed charges,,,249.07,83,,percent of total billed charges,,,249.07,83,,percent of total billed charges,,,,,,,,,,,,,,,249.07,83,,percent of total billed charges,,,285.08,95,,percent of total billed charges,,,270.07,90,,percent of total billed charges,,,270.07,90,,percent of total billed charges,,,246.07,82,,percent of total billed charges,,,270.07,90,,percent of total billed charges,,,255.07,85,,percent of total billed charges,,226.26,285.08,
KCI VERSAFOAM WHITE SM M6275033,23303133,CDM,,,270,RC,inpatient,,83.02,83.02,,70.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.06,88,,percent of total billed charges,,,,,,,,,63.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.55,91,,percent of total billed charges,,,78.87,95,,percent of total billed charges,,,68.91,83,,percent of total billed charges,,,68.91,83,,percent of total billed charges,,,,,,,,,,,,,,,68.91,83,,percent of total billed charges,,,78.87,95,,percent of total billed charges,,,74.72,90,,percent of total billed charges,,,74.72,90,,percent of total billed charges,,,68.08,82,,percent of total billed charges,,,74.72,90,,percent of total billed charges,,,70.57,85,,percent of total billed charges,,62.6,78.87,
KCI GRANUFOAM LG M6275053,23303134,CDM,,,270,RC,inpatient,,425.53,425.53,,361.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,320.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,361.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,374.47,88,,percent of total billed charges,,,,,,,,,325.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,387.23,91,,percent of total billed charges,,,404.25,95,,percent of total billed charges,,,353.19,83,,percent of total billed charges,,,353.19,83,,percent of total billed charges,,,,,,,,,,,,,,,353.19,83,,percent of total billed charges,,,404.25,95,,percent of total billed charges,,,382.98,90,,percent of total billed charges,,,382.98,90,,percent of total billed charges,,,348.93,82,,percent of total billed charges,,,382.98,90,,percent of total billed charges,,,361.7,85,,percent of total billed charges,,320.85,404.25,
*KCI HEEL FOAM,23303135,CDM,,,270,RC,inpatient,,376,376,,319.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,283.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,319.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330.88,88,,percent of total billed charges,,,,,,,,,287.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,342.16,91,,percent of total billed charges,,,357.2,95,,percent of total billed charges,,,312.08,83,,percent of total billed charges,,,312.08,83,,percent of total billed charges,,,,,,,,,,,,,,,312.08,83,,percent of total billed charges,,,357.2,95,,percent of total billed charges,,,338.4,90,,percent of total billed charges,,,338.4,90,,percent of total billed charges,,,308.32,82,,percent of total billed charges,,,338.4,90,,percent of total billed charges,,,319.6,85,,percent of total billed charges,,283.5,357.2,
KCI GRANUFOAM MED M6275052,23303136,CDM,,,270,RC,inpatient,,352.8,352.8,,299.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,266.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,299.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,310.46,88,,percent of total billed charges,,,,,,,,,269.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,321.05,91,,percent of total billed charges,,,335.16,95,,percent of total billed charges,,,292.82,83,,percent of total billed charges,,,292.82,83,,percent of total billed charges,,,,,,,,,,,,,,,292.82,83,,percent of total billed charges,,,335.16,95,,percent of total billed charges,,,317.52,90,,percent of total billed charges,,,317.52,90,,percent of total billed charges,,,289.3,82,,percent of total billed charges,,,317.52,90,,percent of total billed charges,,,299.88,85,,percent of total billed charges,,266.01,335.16,
KCI GRANUFOAM SILVER MED M8275096,23303137,CDM,,,270,RC,inpatient,,477.44,477.44,,405.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,359.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,405.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,420.15,88,,percent of total billed charges,,,,,,,,,364.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,434.47,91,,percent of total billed charges,,,453.57,95,,percent of total billed charges,,,396.28,83,,percent of total billed charges,,,396.28,83,,percent of total billed charges,,,,,,,,,,,,,,,396.28,83,,percent of total billed charges,,,453.57,95,,percent of total billed charges,,,429.7,90,,percent of total billed charges,,,429.7,90,,percent of total billed charges,,,391.5,82,,percent of total billed charges,,,429.7,90,,percent of total billed charges,,,405.82,85,,percent of total billed charges,,359.99,453.57,
STAPLER SKIN PROXIMATE 35W,23303214,CDM,,,270,RC,inpatient,,53.41,53.41,,45.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,40.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,47,88,,percent of total billed charges,,,,,,,,,40.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,48.6,91,,percent of total billed charges,,,50.74,95,,percent of total billed charges,,,44.33,83,,percent of total billed charges,,,44.33,83,,percent of total billed charges,,,,,,,,,,,,,,,44.33,83,,percent of total billed charges,,,50.74,95,,percent of total billed charges,,,48.07,90,,percent of total billed charges,,,48.07,90,,percent of total billed charges,,,43.8,82,,percent of total billed charges,,,48.07,90,,percent of total billed charges,,,45.4,85,,percent of total billed charges,,40.27,50.74,
STAPLER REMOVER SKIN,23303222,CDM,,,270,RC,inpatient,,130.44,130.44,,110.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,98.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,110.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,114.79,88,,percent of total billed charges,,,,,,,,,99.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,118.7,91,,percent of total billed charges,,,123.92,95,,percent of total billed charges,,,108.27,83,,percent of total billed charges,,,108.27,83,,percent of total billed charges,,,,,,,,,,,,,,,108.27,83,,percent of total billed charges,,,123.92,95,,percent of total billed charges,,,117.4,90,,percent of total billed charges,,,117.4,90,,percent of total billed charges,,,106.96,82,,percent of total billed charges,,,117.4,90,,percent of total billed charges,,,110.87,85,,percent of total billed charges,,98.35,123.92,
* IV CATHETER JELCO 20 NO WINGS (V0904),23303236,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8,
ENDO LOC ADULT,23303420,CDM,,,270,RC,inpatient,,45,45,,38.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39.6,88,,percent of total billed charges,,,,,,,,,34.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40.95,91,,percent of total billed charges,,,42.75,95,,percent of total billed charges,,,37.35,83,,percent of total billed charges,,,37.35,83,,percent of total billed charges,,,,,,,,,,,,,,,37.35,83,,percent of total billed charges,,,42.75,95,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,36.9,82,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,38.25,85,,percent of total billed charges,,33.93,42.75,
ENDO LOC PED,23303421,CDM,,,270,RC,inpatient,,36,36,,30.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31.68,88,,percent of total billed charges,,,,,,,,,27.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32.76,91,,percent of total billed charges,,,34.2,95,,percent of total billed charges,,,29.88,83,,percent of total billed charges,,,29.88,83,,percent of total billed charges,,,,,,,,,,,,,,,29.88,83,,percent of total billed charges,,,34.2,95,,percent of total billed charges,,,32.4,90,,percent of total billed charges,,,32.4,90,,percent of total billed charges,,,29.52,82,,percent of total billed charges,,,32.4,90,,percent of total billed charges,,,30.6,85,,percent of total billed charges,,27.14,34.2,
*EXTENSION TUBE 14' DISP,23303462,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7,
*EXTENSION TUBE 21' DISP,23303463,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7,
URINARY DRAINAGE BAG W METER,23303537,CDM,,,270,RC,inpatient,,51.34,51.34,,43.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.18,88,,percent of total billed charges,,,,,,,,,39.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.72,91,,percent of total billed charges,,,48.77,95,,percent of total billed charges,,,42.61,83,,percent of total billed charges,,,42.61,83,,percent of total billed charges,,,,,,,,,,,,,,,42.61,83,,percent of total billed charges,,,48.77,95,,percent of total billed charges,,,46.21,90,,percent of total billed charges,,,46.21,90,,percent of total billed charges,,,42.1,82,,percent of total billed charges,,,46.21,90,,percent of total billed charges,,,43.64,85,,percent of total billed charges,,38.71,48.77,
GUIDEWIRE COONS BENSON,23303554,CDM,,,270,RC,inpatient,,199.95,199.95,,169.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,169.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,175.96,88,,percent of total billed charges,,,,,,,,,152.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,181.95,91,,percent of total billed charges,,,189.95,95,,percent of total billed charges,,,165.96,83,,percent of total billed charges,,,165.96,83,,percent of total billed charges,,,,,,,,,,,,,,,165.96,83,,percent of total billed charges,,,189.95,95,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,163.96,82,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,169.96,85,,percent of total billed charges,,150.76,189.95,
GLIDEWIRE URO 150 X 3MM,23303555,CDM,,,270,RC,inpatient,,371.07,371.07,,315.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,279.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,315.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,326.54,88,,percent of total billed charges,,,,,,,,,283.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,337.67,91,,percent of total billed charges,,,352.52,95,,percent of total billed charges,,,307.99,83,,percent of total billed charges,,,307.99,83,,percent of total billed charges,,,,,,,,,,,,,,,307.99,83,,percent of total billed charges,,,352.52,95,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,304.28,82,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,315.41,85,,percent of total billed charges,,279.79,352.52,
AIRWAY I-GEL SUPRAGLOTTIC  #4,23303694,CDM,,,270,RC,inpatient,,76.87,76.87,,65.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.65,88,,percent of total billed charges,,,,,,,,,58.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.95,91,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,,,,,,,,,,,,,63.8,83,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,63.03,82,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,65.34,85,,percent of total billed charges,,57.96,73.03,
AIRWAY I-GEL SUPRAGLOTTIC #5,23303695,CDM,,,270,RC,inpatient,,76.87,76.87,,65.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.65,88,,percent of total billed charges,,,,,,,,,58.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.95,91,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,,,,,,,,,,,,,63.8,83,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,63.03,82,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,65.34,85,,percent of total billed charges,,57.96,73.03,
AIRWAY I-GEL SUPRAGLOTTIC  #3,23303696,CDM,,,270,RC,inpatient,,76.84,76.84,,65.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.62,88,,percent of total billed charges,,,,,,,,,58.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.92,91,,percent of total billed charges,,,73,95,,percent of total billed charges,,,63.78,83,,percent of total billed charges,,,63.78,83,,percent of total billed charges,,,,,,,,,,,,,,,63.78,83,,percent of total billed charges,,,73,95,,percent of total billed charges,,,69.16,90,,percent of total billed charges,,,69.16,90,,percent of total billed charges,,,63.01,82,,percent of total billed charges,,,69.16,90,,percent of total billed charges,,,65.31,85,,percent of total billed charges,,57.94,73,
TRAY BONE MARROW JAMSHIDE,23303842,CDM,,,270,RC,inpatient,,207.83,207.83,,176.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,156.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,176.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,182.89,88,,percent of total billed charges,,,,,,,,,158.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,189.13,91,,percent of total billed charges,,,197.44,95,,percent of total billed charges,,,172.5,83,,percent of total billed charges,,,172.5,83,,percent of total billed charges,,,,,,,,,,,,,,,172.5,83,,percent of total billed charges,,,197.44,95,,percent of total billed charges,,,187.05,90,,percent of total billed charges,,,187.05,90,,percent of total billed charges,,,170.42,82,,percent of total billed charges,,,187.05,90,,percent of total billed charges,,,176.66,85,,percent of total billed charges,,156.7,197.44,
TRAY LUMBAR PUNCTURE,23303917,CDM,,,270,RC,inpatient,,189.53,189.53,,160.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,142.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.79,88,,percent of total billed charges,,,,,,,,,144.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.47,91,,percent of total billed charges,,,180.05,95,,percent of total billed charges,,,157.31,83,,percent of total billed charges,,,157.31,83,,percent of total billed charges,,,,,,,,,,,,,,,157.31,83,,percent of total billed charges,,,180.05,95,,percent of total billed charges,,,170.58,90,,percent of total billed charges,,,170.58,90,,percent of total billed charges,,,155.41,82,,percent of total billed charges,,,170.58,90,,percent of total billed charges,,,161.1,85,,percent of total billed charges,,142.91,180.05,
TRAY LUMBAR PUNCTURE - PEDS,23303925,CDM,,,270,RC,inpatient,,184.16,184.16,,156.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,138.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,156.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.06,88,,percent of total billed charges,,,,,,,,,140.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,167.59,91,,percent of total billed charges,,,174.95,95,,percent of total billed charges,,,152.85,83,,percent of total billed charges,,,152.85,83,,percent of total billed charges,,,,,,,,,,,,,,,152.85,83,,percent of total billed charges,,,174.95,95,,percent of total billed charges,,,165.74,90,,percent of total billed charges,,,165.74,90,,percent of total billed charges,,,151.01,82,,percent of total billed charges,,,165.74,90,,percent of total billed charges,,,156.54,85,,percent of total billed charges,,138.86,174.95,
TRAY PUDENDAL BLOCK,23303941,CDM,,,270,RC,inpatient,,57.15,57.15,,48.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,43.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,48.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,50.29,88,,percent of total billed charges,,,,,,,,,43.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,52.01,91,,percent of total billed charges,,,54.29,95,,percent of total billed charges,,,47.43,83,,percent of total billed charges,,,47.43,83,,percent of total billed charges,,,,,,,,,,,,,,,47.43,83,,percent of total billed charges,,,54.29,95,,percent of total billed charges,,,51.44,90,,percent of total billed charges,,,51.44,90,,percent of total billed charges,,,46.86,82,,percent of total billed charges,,,51.44,90,,percent of total billed charges,,,48.58,85,,percent of total billed charges,,43.09,54.29,
*THORACENTESIS PARACENTESIS TRAY(ARROW),23303959,CDM,,,270,RC,inpatient,,166,166,,140.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,125.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,141.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,146.08,88,,percent of total billed charges,,,,,,,,,126.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,151.06,91,,percent of total billed charges,,,157.7,95,,percent of total billed charges,,,137.78,83,,percent of total billed charges,,,137.78,83,,percent of total billed charges,,,,,,,,,,,,,,,137.78,83,,percent of total billed charges,,,157.7,95,,percent of total billed charges,,,149.4,90,,percent of total billed charges,,,149.4,90,,percent of total billed charges,,,136.12,82,,percent of total billed charges,,,149.4,90,,percent of total billed charges,,,141.1,85,,percent of total billed charges,,125.16,157.7,
* TRACHEOSTOMY TUBE CUFF #6 (V0106),23303993,CDM,,,270,RC,inpatient,,235,235,,199.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,177.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,199.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,206.8,88,,percent of total billed charges,,,,,,,,,179.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,213.85,91,,percent of total billed charges,,,223.25,95,,percent of total billed charges,,,195.05,83,,percent of total billed charges,,,195.05,83,,percent of total billed charges,,,,,,,,,,,,,,,195.05,83,,percent of total billed charges,,,223.25,95,,percent of total billed charges,,,211.5,90,,percent of total billed charges,,,211.5,90,,percent of total billed charges,,,192.7,82,,percent of total billed charges,,,211.5,90,,percent of total billed charges,,,199.75,85,,percent of total billed charges,,177.19,223.25,
WARMING BLANKET FULL BODY,23304003,CDM,,,270,RC,inpatient,,78,78,,66.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,66.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.64,88,,percent of total billed charges,,,,,,,,,59.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.98,91,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,,,,,,,,,,,,,64.74,83,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,63.96,82,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,66.3,85,,percent of total billed charges,,58.81,74.1,
BLOOD TRANSFUSION FILTER,23304029,CDM,,,270,RC,inpatient,,49.05,49.05,,41.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,41.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,43.16,88,,percent of total billed charges,,,,,,,,,37.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,44.64,91,,percent of total billed charges,,,46.6,95,,percent of total billed charges,,,40.71,83,,percent of total billed charges,,,40.71,83,,percent of total billed charges,,,,,,,,,,,,,,,40.71,83,,percent of total billed charges,,,46.6,95,,percent of total billed charges,,,44.15,90,,percent of total billed charges,,,44.15,90,,percent of total billed charges,,,40.22,82,,percent of total billed charges,,,44.15,90,,percent of total billed charges,,,41.69,85,,percent of total billed charges,,36.98,46.6,
NEEDLE DRAIN CATH,23304080,CDM,,,270,RC,inpatient,,177,177,,150.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,133.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,150.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,155.76,88,,percent of total billed charges,,,,,,,,,135.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,161.07,91,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,,,,,,,,,,,,,146.91,83,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,145.14,82,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,150.45,85,,percent of total billed charges,,133.46,168.15,
*BASIN SET LG,23304089,CDM,,,270,RC,inpatient,,22,22,,18.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.36,88,,percent of total billed charges,,,,,,,,,16.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.02,91,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,,,,,,,,,,,,,18.26,83,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.04,82,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.7,85,,percent of total billed charges,,16.59,20.9,
CONTAMINATION CONTROL DEVICE TRAY,23304090,CDM,,,270,RC,inpatient,,158.64,158.64,,134.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,119.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,134.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,139.6,88,,percent of total billed charges,,,,,,,,,121.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,144.36,91,,percent of total billed charges,,,150.71,95,,percent of total billed charges,,,131.67,83,,percent of total billed charges,,,131.67,83,,percent of total billed charges,,,,,,,,,,,,,,,131.67,83,,percent of total billed charges,,,150.71,95,,percent of total billed charges,,,142.78,90,,percent of total billed charges,,,142.78,90,,percent of total billed charges,,,130.08,82,,percent of total billed charges,,,142.78,90,,percent of total billed charges,,,134.84,85,,percent of total billed charges,,119.61,150.71,
LIGACLIP MEDIUM LS-200,23304105,CDM,,,270,RC,inpatient,,27.63,27.63,,23.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24.31,88,,percent of total billed charges,,,,,,,,,21.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25.14,91,,percent of total billed charges,,,26.25,95,,percent of total billed charges,,,22.93,83,,percent of total billed charges,,,22.93,83,,percent of total billed charges,,,,,,,,,,,,,,,22.93,83,,percent of total billed charges,,,26.25,95,,percent of total billed charges,,,24.87,90,,percent of total billed charges,,,24.87,90,,percent of total billed charges,,,22.66,82,,percent of total billed charges,,,24.87,90,,percent of total billed charges,,,23.49,85,,percent of total billed charges,,20.83,26.25,
LIGACLIP LARGE LS-400,23304113,CDM,,,270,RC,inpatient,,45.73,45.73,,38.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.24,88,,percent of total billed charges,,,,,,,,,34.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.61,91,,percent of total billed charges,,,43.44,95,,percent of total billed charges,,,37.96,83,,percent of total billed charges,,,37.96,83,,percent of total billed charges,,,,,,,,,,,,,,,37.96,83,,percent of total billed charges,,,43.44,95,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,37.5,82,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,38.87,85,,percent of total billed charges,,34.48,43.44,
STOMA POUCH W/CLAMP 2-1/4,23304226,CDM,,,270,RC,inpatient,,2.84,2.84,,2.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.5,88,,percent of total billed charges,,,,,,,,,2.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.58,91,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,,,,,,,,,,,,,2.36,83,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.33,82,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.41,85,,percent of total billed charges,,2.14,2.7,
STOMA POUCH 2-3/4 DISPOSABLE,23304227,CDM,,,270,RC,inpatient,,2.84,2.84,,2.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.5,88,,percent of total billed charges,,,,,,,,,2.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.58,91,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,,,,,,,,,,,,,2.36,83,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.33,82,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.41,85,,percent of total billed charges,,2.14,2.7,
*ELEC/SURG PENCIL W/SMOKE EVAC,23304255,CDM,,,270,RC,inpatient,,27,27,,22.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23.76,88,,percent of total billed charges,,,,,,,,,20.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24.57,91,,percent of total billed charges,,,25.65,95,,percent of total billed charges,,,22.41,83,,percent of total billed charges,,,22.41,83,,percent of total billed charges,,,,,,,,,,,,,,,22.41,83,,percent of total billed charges,,,25.65,95,,percent of total billed charges,,,24.3,90,,percent of total billed charges,,,24.3,90,,percent of total billed charges,,,22.14,82,,percent of total billed charges,,,24.3,90,,percent of total billed charges,,,22.95,85,,percent of total billed charges,,20.36,25.65,
ELEC/SURG GROUND PAD PEDIATRIC,23304256,CDM,,,270,RC,inpatient,,40.86,40.86,,34.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.96,88,,percent of total billed charges,,,,,,,,,31.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37.18,91,,percent of total billed charges,,,38.82,95,,percent of total billed charges,,,33.91,83,,percent of total billed charges,,,33.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33.91,83,,percent of total billed charges,,,38.82,95,,percent of total billed charges,,,36.77,90,,percent of total billed charges,,,36.77,90,,percent of total billed charges,,,33.51,82,,percent of total billed charges,,,36.77,90,,percent of total billed charges,,,34.73,85,,percent of total billed charges,,30.81,38.82,
LIGACLIP SMALL LS-100,23304261,CDM,,,270,RC,inpatient,,23.58,23.58,,20.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.75,88,,percent of total billed charges,,,,,,,,,18.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.46,91,,percent of total billed charges,,,22.4,95,,percent of total billed charges,,,19.57,83,,percent of total billed charges,,,19.57,83,,percent of total billed charges,,,,,,,,,,,,,,,19.57,83,,percent of total billed charges,,,22.4,95,,percent of total billed charges,,,21.22,90,,percent of total billed charges,,,21.22,90,,percent of total billed charges,,,19.34,82,,percent of total billed charges,,,21.22,90,,percent of total billed charges,,,20.04,85,,percent of total billed charges,,17.78,22.4,
CATH COUDE 20F 30CC,23304387,CDM,,,270,RC,inpatient,,79.31,79.31,,67.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,59.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,67.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,69.79,88,,percent of total billed charges,,,,,,,,,60.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,72.17,91,,percent of total billed charges,,,75.34,95,,percent of total billed charges,,,65.83,83,,percent of total billed charges,,,65.83,83,,percent of total billed charges,,,,,,,,,,,,,,,65.83,83,,percent of total billed charges,,,75.34,95,,percent of total billed charges,,,71.38,90,,percent of total billed charges,,,71.38,90,,percent of total billed charges,,,65.03,82,,percent of total billed charges,,,71.38,90,,percent of total billed charges,,,67.41,85,,percent of total billed charges,,59.8,75.34,
KNEE IMMOBILIZER 18,23304427,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02,
KNEE IMMOBILIZER 22,23304428,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02,
KNEE IMMOBILIZER 24,23304429,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02,
MASK FACE ANES SMALL,23304436,CDM,,,270,RC,inpatient,,17.51,17.51,,14.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.41,88,,percent of total billed charges,,,,,,,,,13.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.93,91,,percent of total billed charges,,,16.63,95,,percent of total billed charges,,,14.53,83,,percent of total billed charges,,,14.53,83,,percent of total billed charges,,,,,,,,,,,,,,,14.53,83,,percent of total billed charges,,,16.63,95,,percent of total billed charges,,,15.76,90,,percent of total billed charges,,,15.76,90,,percent of total billed charges,,,14.36,82,,percent of total billed charges,,,15.76,90,,percent of total billed charges,,,14.88,85,,percent of total billed charges,,13.2,16.63,
KNEE IMMOBILIZER 14,23304437,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02,
KNEE IMMOBILIZER 20,23304439,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02,
KNEE IMMOBILIZER 16,23304440,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02,
*FACE MASK MEDIUM ANESTHESIA,23304446,CDM,,,270,RC,inpatient,,13,13,,11.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.44,88,,percent of total billed charges,,,,,,,,,9.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.83,91,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,,,,,,,,,,,,,10.79,83,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,10.66,82,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.05,85,,percent of total billed charges,,9.8,12.35,
*FACE MASK LARGE ANESTHESIA,23304447,CDM,,,270,RC,inpatient,,17,17,,14.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.96,88,,percent of total billed charges,,,,,,,,,12.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.47,91,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,,,,,,,,,,,,,14.11,83,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,13.94,82,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,14.45,85,,percent of total billed charges,,12.82,16.15,
MASK FACE ANES INFANT,23304448,CDM,,,270,RC,inpatient,,17.23,17.23,,14.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.16,88,,percent of total billed charges,,,,,,,,,13.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.68,91,,percent of total billed charges,,,16.37,95,,percent of total billed charges,,,14.3,83,,percent of total billed charges,,,14.3,83,,percent of total billed charges,,,,,,,,,,,,,,,14.3,83,,percent of total billed charges,,,16.37,95,,percent of total billed charges,,,15.51,90,,percent of total billed charges,,,15.51,90,,percent of total billed charges,,,14.13,82,,percent of total billed charges,,,15.51,90,,percent of total billed charges,,,14.65,85,,percent of total billed charges,,12.99,16.37,
MASK FACE ANES CHILD,23304449,CDM,,,270,RC,inpatient,,16.74,16.74,,14.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.73,88,,percent of total billed charges,,,,,,,,,12.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.23,91,,percent of total billed charges,,,15.9,95,,percent of total billed charges,,,13.89,83,,percent of total billed charges,,,13.89,83,,percent of total billed charges,,,,,,,,,,,,,,,13.89,83,,percent of total billed charges,,,15.9,95,,percent of total billed charges,,,15.07,90,,percent of total billed charges,,,15.07,90,,percent of total billed charges,,,13.73,82,,percent of total billed charges,,,15.07,90,,percent of total billed charges,,,14.23,85,,percent of total billed charges,,12.62,15.9,
SUPPORTER MALE ATHLETIC - LGE,23304535,CDM,,,270,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114,
SUPPORTER MALE ATHLETIC - XLG,23304536,CDM,,,270,RC,inpatient,,76.76,76.76,,65.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.55,88,,percent of total billed charges,,,,,,,,,58.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.85,91,,percent of total billed charges,,,72.92,95,,percent of total billed charges,,,63.71,83,,percent of total billed charges,,,63.71,83,,percent of total billed charges,,,,,,,,,,,,,,,63.71,83,,percent of total billed charges,,,72.92,95,,percent of total billed charges,,,69.08,90,,percent of total billed charges,,,69.08,90,,percent of total billed charges,,,62.94,82,,percent of total billed charges,,,69.08,90,,percent of total billed charges,,,65.25,85,,percent of total billed charges,,57.88,72.92,
LAP CHOLE ACCESSORY KIT,23304691,CDM,,,270,RC,inpatient,,1647.04,1647.04,,1398.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1241.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1399.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1449.4,88,,percent of total billed charges,,,,,,,,,1258.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1498.81,91,,percent of total billed charges,,,1564.69,95,,percent of total billed charges,,,1367.04,83,,percent of total billed charges,,,1367.04,83,,percent of total billed charges,,,,,,,,,,,,,,,1367.04,83,,percent of total billed charges,,,1564.69,95,,percent of total billed charges,,,1482.34,90,,percent of total billed charges,,,1482.34,90,,percent of total billed charges,,,1350.57,82,,percent of total billed charges,,,1482.34,90,,percent of total billed charges,,,1399.98,85,,percent of total billed charges,,1241.87,1564.69,
NEEDLE VERES PNEUMO 120MM,23304692,CDM,,,270,RC,inpatient,,98.88,98.88,,83.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,74.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,84.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,87.01,88,,percent of total billed charges,,,,,,,,,75.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,89.98,91,,percent of total billed charges,,,93.94,95,,percent of total billed charges,,,82.07,83,,percent of total billed charges,,,82.07,83,,percent of total billed charges,,,,,,,,,,,,,,,82.07,83,,percent of total billed charges,,,93.94,95,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,81.08,82,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,84.05,85,,percent of total billed charges,,74.56,93.94,
LAPAROSCOPIC REDUCER CAP,23304693,CDM,,,270,RC,inpatient,,40.77,40.77,,34.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.88,88,,percent of total billed charges,,,,,,,,,31.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37.1,91,,percent of total billed charges,,,38.73,95,,percent of total billed charges,,,33.84,83,,percent of total billed charges,,,33.84,83,,percent of total billed charges,,,,,,,,,,,,,,,33.84,83,,percent of total billed charges,,,38.73,95,,percent of total billed charges,,,36.69,90,,percent of total billed charges,,,36.69,90,,percent of total billed charges,,,33.43,82,,percent of total billed charges,,,36.69,90,,percent of total billed charges,,,34.65,85,,percent of total billed charges,,30.74,38.73,
*TUBING BLOOD WARMING,23304725,CDM,,,270,RC,inpatient,,22,22,,18.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.36,88,,percent of total billed charges,,,,,,,,,16.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.02,91,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,,,,,,,,,,,,,18.26,83,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.04,82,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.7,85,,percent of total billed charges,,16.59,20.9,
BALLOON URETERAL DILATATION,23304741,CDM,,,270,RC,inpatient,,1485.84,1485.84,,1261.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1120.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1262.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1307.54,88,,percent of total billed charges,,,,,,,,,1135.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1352.11,91,,percent of total billed charges,,,1411.55,95,,percent of total billed charges,,,1233.25,83,,percent of total billed charges,,,1233.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1233.25,83,,percent of total billed charges,,,1411.55,95,,percent of total billed charges,,,1337.26,90,,percent of total billed charges,,,1337.26,90,,percent of total billed charges,,,1218.39,82,,percent of total billed charges,,,1337.26,90,,percent of total billed charges,,,1262.96,85,,percent of total billed charges,,1120.32,1411.55,
SPLINT WRIST & FOREARM UNIV/LT,23304758,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94,
SPLINT WRIST & FOREARM UNIV/RT,23304761,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94,
SPLINT WRIST & FOREARM LF PED,23304765,CDM,,,270,RC,inpatient,,67.15,67.15,,57.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.09,88,,percent of total billed charges,,,,,,,,,51.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.11,91,,percent of total billed charges,,,63.79,95,,percent of total billed charges,,,55.73,83,,percent of total billed charges,,,55.73,83,,percent of total billed charges,,,,,,,,,,,,,,,55.73,83,,percent of total billed charges,,,63.79,95,,percent of total billed charges,,,60.44,90,,percent of total billed charges,,,60.44,90,,percent of total billed charges,,,55.06,82,,percent of total billed charges,,,60.44,90,,percent of total billed charges,,,57.08,85,,percent of total billed charges,,50.63,63.79,
* BREAST PUMP MEDELA (V1104),23304881,CDM,,,270,RC,inpatient,,66,66,,56.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58.08,88,,percent of total billed charges,,,,,,,,,50.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60.06,91,,percent of total billed charges,,,62.7,95,,percent of total billed charges,,,54.78,83,,percent of total billed charges,,,54.78,83,,percent of total billed charges,,,,,,,,,,,,,,,54.78,83,,percent of total billed charges,,,62.7,95,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,54.12,82,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,56.1,85,,percent of total billed charges,,49.76,62.7,
STAPLER SKIN PRECISE VISTA 15W,23304900,CDM,,,270,RC,inpatient,,69.96,69.96,,59.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,59.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,61.56,88,,percent of total billed charges,,,,,,,,,53.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,63.66,91,,percent of total billed charges,,,66.46,95,,percent of total billed charges,,,58.07,83,,percent of total billed charges,,,58.07,83,,percent of total billed charges,,,,,,,,,,,,,,,58.07,83,,percent of total billed charges,,,66.46,95,,percent of total billed charges,,,62.96,90,,percent of total billed charges,,,62.96,90,,percent of total billed charges,,,57.37,82,,percent of total billed charges,,,62.96,90,,percent of total billed charges,,,59.47,85,,percent of total billed charges,,52.75,66.46,
CHOLANGIOGRAM KIT 10FR,23304907,CDM,,,270,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5,
STAPLER SKIN 15R,23304915,CDM,,,270,RC,inpatient,,43.72,43.72,,37.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38.47,88,,percent of total billed charges,,,,,,,,,33.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39.79,91,,percent of total billed charges,,,41.53,95,,percent of total billed charges,,,36.29,83,,percent of total billed charges,,,36.29,83,,percent of total billed charges,,,,,,,,,,,,,,,36.29,83,,percent of total billed charges,,,41.53,95,,percent of total billed charges,,,39.35,90,,percent of total billed charges,,,39.35,90,,percent of total billed charges,,,35.85,82,,percent of total billed charges,,,39.35,90,,percent of total billed charges,,,37.16,85,,percent of total billed charges,,32.96,41.53,
STAPLER SKIN PRECISE VISTA 15R,23304916,CDM,,,270,RC,inpatient,,33.37,33.37,,28.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.37,88,,percent of total billed charges,,,,,,,,,25.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.37,91,,percent of total billed charges,,,31.7,95,,percent of total billed charges,,,27.7,83,,percent of total billed charges,,,27.7,83,,percent of total billed charges,,,,,,,,,,,,,,,27.7,83,,percent of total billed charges,,,31.7,95,,percent of total billed charges,,,30.03,90,,percent of total billed charges,,,30.03,90,,percent of total billed charges,,,27.36,82,,percent of total billed charges,,,30.03,90,,percent of total billed charges,,,28.36,85,,percent of total billed charges,,25.16,31.7,
ULTRASLING III BLACK MEDIUM,23305085,CDM,,,270,RC,inpatient,,373.95,373.95,,317.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,281.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,317.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,329.08,88,,percent of total billed charges,,,,,,,,,285.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,340.29,91,,percent of total billed charges,,,355.25,95,,percent of total billed charges,,,310.38,83,,percent of total billed charges,,,310.38,83,,percent of total billed charges,,,,,,,,,,,,,,,310.38,83,,percent of total billed charges,,,355.25,95,,percent of total billed charges,,,336.56,90,,percent of total billed charges,,,336.56,90,,percent of total billed charges,,,306.64,82,,percent of total billed charges,,,336.56,90,,percent of total billed charges,,,317.86,85,,percent of total billed charges,,281.96,355.25,
SPLINT WRIST RIGHT PEDIATRIC,23305090,CDM,,,270,RC,inpatient,,59.5,59.5,,50.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.36,88,,percent of total billed charges,,,,,,,,,45.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.15,91,,percent of total billed charges,,,56.53,95,,percent of total billed charges,,,49.39,83,,percent of total billed charges,,,49.39,83,,percent of total billed charges,,,,,,,,,,,,,,,49.39,83,,percent of total billed charges,,,56.53,95,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,48.79,82,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,50.58,85,,percent of total billed charges,,44.86,56.53,
*SPLINT WRIST RIGHT MEDIUM,23305091,CDM,,,270,RC,inpatient,,81,81,,68.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,68.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.28,88,,percent of total billed charges,,,,,,,,,61.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.71,91,,percent of total billed charges,,,76.95,95,,percent of total billed charges,,,67.23,83,,percent of total billed charges,,,67.23,83,,percent of total billed charges,,,,,,,,,,,,,,,67.23,83,,percent of total billed charges,,,76.95,95,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,66.42,82,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,68.85,85,,percent of total billed charges,,61.07,76.95,
SHOULDER IMMOBILIZER MEN XLG,23305293,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94,
SHOULDER IMMOBILIZER WOMEN LG,23305296,CDM,,,270,RC,inpatient,,64.43,64.43,,54.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56.7,88,,percent of total billed charges,,,,,,,,,49.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58.63,91,,percent of total billed charges,,,61.21,95,,percent of total billed charges,,,53.48,83,,percent of total billed charges,,,53.48,83,,percent of total billed charges,,,,,,,,,,,,,,,53.48,83,,percent of total billed charges,,,61.21,95,,percent of total billed charges,,,57.99,90,,percent of total billed charges,,,57.99,90,,percent of total billed charges,,,52.83,82,,percent of total billed charges,,,57.99,90,,percent of total billed charges,,,54.77,85,,percent of total billed charges,,48.58,61.21,
*SHOULDER IMMOBILIZER MEN SM,23305297,CDM,,,270,RC,inpatient,,101,101,,85.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,76.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,85.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,88.88,88,,percent of total billed charges,,,,,,,,,77.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,91.91,91,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,,,,,,,,,,,,,83.83,83,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,82.82,82,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,85.85,85,,percent of total billed charges,,76.15,95.95,
*SHOULDER IMMOBILIZER MEN MED,23305298,CDM,,,270,RC,inpatient,,60,60,,50.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,45.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.8,88,,percent of total billed charges,,,,,,,,,45.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.6,91,,percent of total billed charges,,,57,95,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,,,,,,,,,,,,,49.8,83,,percent of total billed charges,,,57,95,,percent of total billed charges,,,54,90,,percent of total billed charges,,,54,90,,percent of total billed charges,,,49.2,82,,percent of total billed charges,,,54,90,,percent of total billed charges,,,51,85,,percent of total billed charges,,45.24,57,
SHOULDER IMMOBILIZER MEN LG,23305299,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94,
SHOULDER IMMOBILIZER UNIVERSAL,23305300,CDM,,,270,RC,inpatient,,56.44,56.44,,47.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.67,88,,percent of total billed charges,,,,,,,,,43.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51.36,91,,percent of total billed charges,,,53.62,95,,percent of total billed charges,,,46.85,83,,percent of total billed charges,,,46.85,83,,percent of total billed charges,,,,,,,,,,,,,,,46.85,83,,percent of total billed charges,,,53.62,95,,percent of total billed charges,,,50.8,90,,percent of total billed charges,,,50.8,90,,percent of total billed charges,,,46.28,82,,percent of total billed charges,,,50.8,90,,percent of total billed charges,,,47.97,85,,percent of total billed charges,,42.56,53.62,
*FINGER SPLINT VELCRO PED,23305318,CDM,,,270,RC,inpatient,,47,47,,39.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.36,88,,percent of total billed charges,,,,,,,,,35.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.77,91,,percent of total billed charges,,,44.65,95,,percent of total billed charges,,,39.01,83,,percent of total billed charges,,,39.01,83,,percent of total billed charges,,,,,,,,,,,,,,,39.01,83,,percent of total billed charges,,,44.65,95,,percent of total billed charges,,,42.3,90,,percent of total billed charges,,,42.3,90,,percent of total billed charges,,,38.54,82,,percent of total billed charges,,,42.3,90,,percent of total billed charges,,,39.95,85,,percent of total billed charges,,35.44,44.65,
*FINGER SPLINT VELCRO MED,23305319,CDM,,,270,RC,inpatient,,35,35,,29.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.8,88,,percent of total billed charges,,,,,,,,,26.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31.85,91,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,,,,,,,,,,,,,29.05,83,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,28.7,82,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,29.75,85,,percent of total billed charges,,26.39,33.25,
FINGER/THUMB SPLINT LG/XLG RIGHT,23305320,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14,
FINGER/THUMB SPLINT SM/MD RIGHT,23305321,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14,
SPLINT FINGER PLASTIC,23305322,CDM,,,270,RC,inpatient,,17.55,17.55,,14.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.44,88,,percent of total billed charges,,,,,,,,,13.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.97,91,,percent of total billed charges,,,16.67,95,,percent of total billed charges,,,14.57,83,,percent of total billed charges,,,14.57,83,,percent of total billed charges,,,,,,,,,,,,,,,14.57,83,,percent of total billed charges,,,16.67,95,,percent of total billed charges,,,15.8,90,,percent of total billed charges,,,15.8,90,,percent of total billed charges,,,14.39,82,,percent of total billed charges,,,15.8,90,,percent of total billed charges,,,14.92,85,,percent of total billed charges,,13.23,16.67,
FINGER/THUMB SPLINT LG/XLG LEFT,23305324,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14,
FINGER/THUMB SPLINT SM/MD LEFT,23305325,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14,
SPLINT CLAVICAL SM,23305342,CDM,,,270,RC,inpatient,,58.57,58.57,,49.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,49.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.54,88,,percent of total billed charges,,,,,,,,,44.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.3,91,,percent of total billed charges,,,55.64,95,,percent of total billed charges,,,48.61,83,,percent of total billed charges,,,48.61,83,,percent of total billed charges,,,,,,,,,,,,,,,48.61,83,,percent of total billed charges,,,55.64,95,,percent of total billed charges,,,52.71,90,,percent of total billed charges,,,52.71,90,,percent of total billed charges,,,48.03,82,,percent of total billed charges,,,52.71,90,,percent of total billed charges,,,49.78,85,,percent of total billed charges,,44.16,55.64,
SPLINT CLAVICLE LG,23305344,CDM,,,270,RC,inpatient,,42.84,42.84,,36.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,36.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,37.7,88,,percent of total billed charges,,,,,,,,,32.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,38.98,91,,percent of total billed charges,,,40.7,95,,percent of total billed charges,,,35.56,83,,percent of total billed charges,,,35.56,83,,percent of total billed charges,,,,,,,,,,,,,,,35.56,83,,percent of total billed charges,,,40.7,95,,percent of total billed charges,,,38.56,90,,percent of total billed charges,,,38.56,90,,percent of total billed charges,,,35.13,82,,percent of total billed charges,,,38.56,90,,percent of total billed charges,,,36.41,85,,percent of total billed charges,,32.3,40.7,
SPLINT CLAVICLE XLG,23305345,CDM,,,270,RC,inpatient,,44.28,44.28,,37.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38.97,88,,percent of total billed charges,,,,,,,,,33.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40.29,91,,percent of total billed charges,,,42.07,95,,percent of total billed charges,,,36.75,83,,percent of total billed charges,,,36.75,83,,percent of total billed charges,,,,,,,,,,,,,,,36.75,83,,percent of total billed charges,,,42.07,95,,percent of total billed charges,,,39.85,90,,percent of total billed charges,,,39.85,90,,percent of total billed charges,,,36.31,82,,percent of total billed charges,,,39.85,90,,percent of total billed charges,,,37.64,85,,percent of total billed charges,,33.39,42.07,
* SPLINT POSTERIOR TIBIA YOUTH (V0106),23305383,CDM,,,270,RC,inpatient,,183,183,,155.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,137.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,155.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,161.04,88,,percent of total billed charges,,,,,,,,,139.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,166.53,91,,percent of total billed charges,,,173.85,95,,percent of total billed charges,,,151.89,83,,percent of total billed charges,,,151.89,83,,percent of total billed charges,,,,,,,,,,,,,,,151.89,83,,percent of total billed charges,,,173.85,95,,percent of total billed charges,,,164.7,90,,percent of total billed charges,,,164.7,90,,percent of total billed charges,,,150.06,82,,percent of total billed charges,,,164.7,90,,percent of total billed charges,,,155.55,85,,percent of total billed charges,,137.98,173.85,
*VISCERA RETAINER MEDIUM,23305482,CDM,,,270,RC,inpatient,,158,158,,134.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,119.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,134.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,139.04,88,,percent of total billed charges,,,,,,,,,120.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,143.78,91,,percent of total billed charges,,,150.1,95,,percent of total billed charges,,,131.14,83,,percent of total billed charges,,,131.14,83,,percent of total billed charges,,,,,,,,,,,,,,,131.14,83,,percent of total billed charges,,,150.1,95,,percent of total billed charges,,,142.2,90,,percent of total billed charges,,,142.2,90,,percent of total billed charges,,,129.56,82,,percent of total billed charges,,,142.2,90,,percent of total billed charges,,,134.3,85,,percent of total billed charges,,119.13,150.1,
BREATHING CIRCUIT W/FILTER,23305508,CDM,,,270,RC,inpatient,,70.81,70.81,,60.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,53.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,60.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,62.31,88,,percent of total billed charges,,,,,,,,,54.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,64.44,91,,percent of total billed charges,,,67.27,95,,percent of total billed charges,,,58.77,83,,percent of total billed charges,,,58.77,83,,percent of total billed charges,,,,,,,,,,,,,,,58.77,83,,percent of total billed charges,,,67.27,95,,percent of total billed charges,,,63.73,90,,percent of total billed charges,,,63.73,90,,percent of total billed charges,,,58.06,82,,percent of total billed charges,,,63.73,90,,percent of total billed charges,,,60.19,85,,percent of total billed charges,,53.39,67.27,
BREATHING CIRCUIT PED.,23305509,CDM,,,270,RC,inpatient,,63.61,63.61,,54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,47.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,55.98,88,,percent of total billed charges,,,,,,,,,48.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,57.89,91,,percent of total billed charges,,,60.43,95,,percent of total billed charges,,,52.8,83,,percent of total billed charges,,,52.8,83,,percent of total billed charges,,,,,,,,,,,,,,,52.8,83,,percent of total billed charges,,,60.43,95,,percent of total billed charges,,,57.25,90,,percent of total billed charges,,,57.25,90,,percent of total billed charges,,,52.16,82,,percent of total billed charges,,,57.25,90,,percent of total billed charges,,,54.07,85,,percent of total billed charges,,47.96,60.43,
* LMA USE (V0904),23305510,CDM,,,270,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235,
*ELEC/SURG SHOULDER ARTHROSCOPY,23305567,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7,
CAST BUCKET,23305758,CDM,,,270,RC,inpatient,,172,172,,146.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,129.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,146.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,151.36,88,,percent of total billed charges,,,,,,,,,131.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,156.52,91,,percent of total billed charges,,,163.4,95,,percent of total billed charges,,,142.76,83,,percent of total billed charges,,,142.76,83,,percent of total billed charges,,,,,,,,,,,,,,,142.76,83,,percent of total billed charges,,,163.4,95,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,141.04,82,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,146.2,85,,percent of total billed charges,,129.69,163.4,
SUCTION SIMPULSE IRRIGATION,23305797,CDM,,,270,RC,inpatient,,339.77,339.77,,288.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,256.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,288.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,299,88,,percent of total billed charges,,,,,,,,,259.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,309.19,91,,percent of total billed charges,,,322.78,95,,percent of total billed charges,,,282.01,83,,percent of total billed charges,,,282.01,83,,percent of total billed charges,,,,,,,,,,,,,,,282.01,83,,percent of total billed charges,,,322.78,95,,percent of total billed charges,,,305.79,90,,percent of total billed charges,,,305.79,90,,percent of total billed charges,,,278.61,82,,percent of total billed charges,,,305.79,90,,percent of total billed charges,,,288.8,85,,percent of total billed charges,,256.19,322.78,
*INFANT HEEL WARMER,23305804,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8,
* PAD WHEELCHAIR AIR CUSHION (V1104),23305904,CDM,,,270,RC,inpatient,,143,143,,121.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,107.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,121.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,125.84,88,,percent of total billed charges,,,,,,,,,109.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,130.13,91,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,,,,,,,,,,,,,118.69,83,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,117.26,82,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,121.55,85,,percent of total billed charges,,107.82,135.85,
INTERCEED 4  X 3,23305952,CDM,,,270,RC,inpatient,,2409.63,2409.63,,2045.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1816.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2048.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2120.47,88,,percent of total billed charges,,,,,,,,,1840.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2192.76,91,,percent of total billed charges,,,2289.15,95,,percent of total billed charges,,,1999.99,83,,percent of total billed charges,,,1999.99,83,,percent of total billed charges,,,,,,,,,,,,,,,1999.99,83,,percent of total billed charges,,,2289.15,95,,percent of total billed charges,,,2168.67,90,,percent of total billed charges,,,2168.67,90,,percent of total billed charges,,,1975.9,82,,percent of total billed charges,,,2168.67,90,,percent of total billed charges,,,2048.19,85,,percent of total billed charges,,1816.86,2289.15,
CATH GROSHONG 9.5F,23306019,CDM,,,270,RC,inpatient,,4872.08,4872.08,,4136.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3673.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4141.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4287.43,88,,percent of total billed charges,,,,,,,,,3722.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4433.59,91,,percent of total billed charges,,,4628.48,95,,percent of total billed charges,,,4043.83,83,,percent of total billed charges,,,4043.83,83,,percent of total billed charges,,,,,,,,,,,,,,,4043.83,83,,percent of total billed charges,,,4628.48,95,,percent of total billed charges,,,4384.87,90,,percent of total billed charges,,,4384.87,90,,percent of total billed charges,,,3995.11,82,,percent of total billed charges,,,4384.87,90,,percent of total billed charges,,,4141.27,85,,percent of total billed charges,,3673.55,4628.48,
ABDOMINAL BINDER MED/LG 30  - 45,23306068,CDM,,,270,RC,inpatient,,74.55,74.55,,63.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,65.6,88,,percent of total billed charges,,,,,,,,,56.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,67.84,91,,percent of total billed charges,,,70.82,95,,percent of total billed charges,,,61.88,83,,percent of total billed charges,,,61.88,83,,percent of total billed charges,,,,,,,,,,,,,,,61.88,83,,percent of total billed charges,,,70.82,95,,percent of total billed charges,,,67.1,90,,percent of total billed charges,,,67.1,90,,percent of total billed charges,,,61.13,82,,percent of total billed charges,,,67.1,90,,percent of total billed charges,,,63.37,85,,percent of total billed charges,,56.21,70.82,
ABDOMINAL BINDER XLG 45  - 62,23306069,CDM,,,270,RC,inpatient,,75.23,75.23,,63.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,66.2,88,,percent of total billed charges,,,,,,,,,57.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,68.46,91,,percent of total billed charges,,,71.47,95,,percent of total billed charges,,,62.44,83,,percent of total billed charges,,,62.44,83,,percent of total billed charges,,,,,,,,,,,,,,,62.44,83,,percent of total billed charges,,,71.47,95,,percent of total billed charges,,,67.71,90,,percent of total billed charges,,,67.71,90,,percent of total billed charges,,,61.69,82,,percent of total billed charges,,,67.71,90,,percent of total billed charges,,,63.95,85,,percent of total billed charges,,56.72,71.47,
*BLADDER CARE W METER NO CATH,23306100,CDM,,,270,RC,inpatient,,52,52,,44.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.76,88,,percent of total billed charges,,,,,,,,,39.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.32,91,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,,,,,,,,,,,,,43.16,83,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,42.64,82,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,44.2,85,,percent of total billed charges,,39.21,49.4,
TRAY EPIDURAL W/17GA NEEDLE,23306192,CDM,,,270,RC,inpatient,,201.9,201.9,,171.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,152.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,171.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,177.67,88,,percent of total billed charges,,,,,,,,,154.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,183.73,91,,percent of total billed charges,,,191.81,95,,percent of total billed charges,,,167.58,83,,percent of total billed charges,,,167.58,83,,percent of total billed charges,,,,,,,,,,,,,,,167.58,83,,percent of total billed charges,,,191.81,95,,percent of total billed charges,,,181.71,90,,percent of total billed charges,,,181.71,90,,percent of total billed charges,,,165.56,82,,percent of total billed charges,,,181.71,90,,percent of total billed charges,,,171.62,85,,percent of total billed charges,,152.23,191.81,
MESH MERSILENE 12 X 12,23306218,CDM,,,270,RC,inpatient,,4987.39,4987.39,,4234.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3760.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4239.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4388.9,88,,percent of total billed charges,,,,,,,,,3810.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4538.52,91,,percent of total billed charges,,,4738.02,95,,percent of total billed charges,,,4139.53,83,,percent of total billed charges,,,4139.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4139.53,83,,percent of total billed charges,,,4738.02,95,,percent of total billed charges,,,4488.65,90,,percent of total billed charges,,,4488.65,90,,percent of total billed charges,,,4089.66,82,,percent of total billed charges,,,4488.65,90,,percent of total billed charges,,,4239.28,85,,percent of total billed charges,,3760.49,4738.02,
*SUCTION MOUTH SWAB,23306225,CDM,,,270,RC,inpatient,,11,11,,9.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.68,88,,percent of total billed charges,,,,,,,,,8.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10.01,91,,percent of total billed charges,,,10.45,95,,percent of total billed charges,,,9.13,83,,percent of total billed charges,,,9.13,83,,percent of total billed charges,,,,,,,,,,,,,,,9.13,83,,percent of total billed charges,,,10.45,95,,percent of total billed charges,,,9.9,90,,percent of total billed charges,,,9.9,90,,percent of total billed charges,,,9.02,82,,percent of total billed charges,,,9.9,90,,percent of total billed charges,,,9.35,85,,percent of total billed charges,,8.29,10.45,
PEG TUBE KIT,23306308,CDM,,,270,RC,inpatient,,420,420,,356.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,316.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,357,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,369.6,88,,percent of total billed charges,,,,,,,,,320.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,382.2,91,,percent of total billed charges,,,399,95,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,,,,,,,,,,,,,348.6,83,,percent of total billed charges,,,399,95,,percent of total billed charges,,,378,90,,percent of total billed charges,,,378,90,,percent of total billed charges,,,344.4,82,,percent of total billed charges,,,378,90,,percent of total billed charges,,,357,85,,percent of total billed charges,,316.68,399,
TRAY CENTRAL VENOUS CATH 3-LUMEN,23306316,CDM,,,270,RC,inpatient,,874.93,874.93,,742.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,769.94,88,,percent of total billed charges,,,,,,,,,668.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.19,91,,percent of total billed charges,,,831.18,95,,percent of total billed charges,,,726.19,83,,percent of total billed charges,,,726.19,83,,percent of total billed charges,,,,,,,,,,,,,,,726.19,83,,percent of total billed charges,,,831.18,95,,percent of total billed charges,,,787.44,90,,percent of total billed charges,,,787.44,90,,percent of total billed charges,,,717.44,82,,percent of total billed charges,,,787.44,90,,percent of total billed charges,,,743.69,85,,percent of total billed charges,,659.7,831.18,
* ECG MONITOR (V0904),23306324,CDM,,,732,RC,inpatient,,70,70,,59.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,59.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,61.6,88,,percent of total billed charges,,,,,,,,,53.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,63.7,91,,percent of total billed charges,,,66.5,95,,percent of total billed charges,,,58.1,83,,percent of total billed charges,,,58.1,83,,percent of total billed charges,,,,,,,,,,,,,,,58.1,83,,percent of total billed charges,,,66.5,95,,percent of total billed charges,,,63,90,,percent of total billed charges,,,63,90,,percent of total billed charges,,,57.4,82,,percent of total billed charges,,,63,90,,percent of total billed charges,,,59.5,85,,percent of total billed charges,,52.78,66.5,
* STOMA O R SETS 70MM (V0605),23306365,CDM,,,270,RC,inpatient,,38,38,,32.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.44,88,,percent of total billed charges,,,,,,,,,29.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.58,91,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,,,,,,,,,,,,,31.54,83,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,31.16,82,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,32.3,85,,percent of total billed charges,,28.65,36.1,
* Z/OR (V0405),23306416,CDM,,,270,RC,inpatient,,10780,10780,,9152.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8128.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9163,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9486.4,88,,percent of total billed charges,,,,,,,,,8235.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9809.8,91,,percent of total billed charges,,,10241,95,,percent of total billed charges,,,8947.4,83,,percent of total billed charges,,,8947.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8947.4,83,,percent of total billed charges,,,10241,95,,percent of total billed charges,,,9702,90,,percent of total billed charges,,,9702,90,,percent of total billed charges,,,8839.6,82,,percent of total billed charges,,,9702,90,,percent of total billed charges,,,9163,85,,percent of total billed charges,,8128.12,10241,
* ILC LASER (V1004),23306417,CDM,,,360,RC,inpatient,,2111,2111,,1792.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1591.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1794.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1857.68,88,,percent of total billed charges,,,,,,,,,1612.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1921.01,91,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1752.13,83,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1731.02,82,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1794.35,85,,percent of total billed charges,,1591.69,2005.45,
* PVP LASER FEE (V1004),23306419,CDM,,,360,RC,inpatient,,2413,2413,,2048.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1819.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2051.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2123.44,88,,percent of total billed charges,,,,,,,,,1843.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2195.83,91,,percent of total billed charges,,,2292.35,95,,percent of total billed charges,,,2002.79,83,,percent of total billed charges,,,2002.79,83,,percent of total billed charges,,,,,,,,,,,,,,,2002.79,83,,percent of total billed charges,,,2292.35,95,,percent of total billed charges,,,2171.7,90,,percent of total billed charges,,,2171.7,90,,percent of total billed charges,,,1978.66,82,,percent of total billed charges,,,2171.7,90,,percent of total billed charges,,,2051.05,85,,percent of total billed charges,,1819.4,2292.35,
* PVP FIBER FEE (V1004),23306420,CDM,,,360,RC,inpatient,,2111,2111,,1792.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1591.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1794.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1857.68,88,,percent of total billed charges,,,,,,,,,1612.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1921.01,91,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1752.13,83,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1731.02,82,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1794.35,85,,percent of total billed charges,,1591.69,2005.45,
ELECTRODE DEFIB PEDS EDGE QUICK-COMBO,23306457,CDM,,,270,RC,inpatient,,215.18,215.18,,182.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,162.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,189.36,88,,percent of total billed charges,,,,,,,,,164.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.81,91,,percent of total billed charges,,,204.42,95,,percent of total billed charges,,,178.6,83,,percent of total billed charges,,,178.6,83,,percent of total billed charges,,,,,,,,,,,,,,,178.6,83,,percent of total billed charges,,,204.42,95,,percent of total billed charges,,,193.66,90,,percent of total billed charges,,,193.66,90,,percent of total billed charges,,,176.45,82,,percent of total billed charges,,,193.66,90,,percent of total billed charges,,,182.9,85,,percent of total billed charges,,162.25,204.42,
CAST SHOE DARCO WOMEN MEDIUM,23306481,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18,
CAST SHOE DARCO WOMEN LG,23306482,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18,
CAST SHOE DARCO MEN SMALL,23306483,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18,
CAST SHOE DARCO MEN MEDIUM,23306484,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18,
CAST SHOE DARCO MEN LG,23306485,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18,
CAST SHOE DARCO MEN XLG,23306486,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18,
STOMA FLANGE HOL 14803,23306511,CDM,,,270,RC,inpatient,,8.51,8.51,,7.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.49,88,,percent of total billed charges,,,,,,,,,6.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.74,91,,percent of total billed charges,,,8.08,95,,percent of total billed charges,,,7.06,83,,percent of total billed charges,,,7.06,83,,percent of total billed charges,,,,,,,,,,,,,,,7.06,83,,percent of total billed charges,,,8.08,95,,percent of total billed charges,,,7.66,90,,percent of total billed charges,,,7.66,90,,percent of total billed charges,,,6.98,82,,percent of total billed charges,,,7.66,90,,percent of total billed charges,,,7.23,85,,percent of total billed charges,,6.42,8.08,
STOMA FLANGE FLAT 2-3/4,23306518,CDM,,,270,RC,inpatient,,4.5,4.5,,3.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.96,88,,percent of total billed charges,,,,,,,,,3.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.1,91,,percent of total billed charges,,,4.28,95,,percent of total billed charges,,,3.74,83,,percent of total billed charges,,,3.74,83,,percent of total billed charges,,,,,,,,,,,,,,,3.74,83,,percent of total billed charges,,,4.28,95,,percent of total billed charges,,,4.05,90,,percent of total billed charges,,,4.05,90,,percent of total billed charges,,,3.69,82,,percent of total billed charges,,,4.05,90,,percent of total billed charges,,,3.83,85,,percent of total billed charges,,3.39,4.28,
*STOMA POUCH W/CLAMP 1-3/4 (DISCONTINU,23306536,CDM,,,270,RC,inpatient,,8,8,,6.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.04,88,,percent of total billed charges,,,,,,,,,6.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.28,91,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,,,,,,,,,,,,,6.64,83,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.56,82,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.8,85,,percent of total billed charges,,6.03,7.6,
INTUBATION STYLET 14FR,23306605,CDM,,,270,RC,inpatient,,33.44,33.44,,28.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.43,88,,percent of total billed charges,,,,,,,,,25.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.43,91,,percent of total billed charges,,,31.77,95,,percent of total billed charges,,,27.76,83,,percent of total billed charges,,,27.76,83,,percent of total billed charges,,,,,,,,,,,,,,,27.76,83,,percent of total billed charges,,,31.77,95,,percent of total billed charges,,,30.1,90,,percent of total billed charges,,,30.1,90,,percent of total billed charges,,,27.42,82,,percent of total billed charges,,,30.1,90,,percent of total billed charges,,,28.42,85,,percent of total billed charges,,25.21,31.77,
* ADAPTIC DRESSING 3  X 8 (DUP) (V0605),23306627,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85,
EYE IRRIGATION LENS MORGAN,23306712,CDM,,,270,RC,inpatient,,404.6,404.6,,343.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,305.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,343.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,356.05,88,,percent of total billed charges,,,,,,,,,309.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,368.19,91,,percent of total billed charges,,,384.37,95,,percent of total billed charges,,,335.82,83,,percent of total billed charges,,,335.82,83,,percent of total billed charges,,,,,,,,,,,,,,,335.82,83,,percent of total billed charges,,,384.37,95,,percent of total billed charges,,,364.14,90,,percent of total billed charges,,,364.14,90,,percent of total billed charges,,,331.77,82,,percent of total billed charges,,,364.14,90,,percent of total billed charges,,,343.91,85,,percent of total billed charges,,305.07,384.37,
*PROMOGRAM DRESSING,23306787,CDM,,,270,RC,inpatient,,60,60,,50.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,45.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.8,88,,percent of total billed charges,,,,,,,,,45.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.6,91,,percent of total billed charges,,,57,95,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,,,,,,,,,,,,,49.8,83,,percent of total billed charges,,,57,95,,percent of total billed charges,,,54,90,,percent of total billed charges,,,54,90,,percent of total billed charges,,,49.2,82,,percent of total billed charges,,,54,90,,percent of total billed charges,,,51,85,,percent of total billed charges,,45.24,57,
* EPI LOCK 4X4 (V0605),23306795,CDM,,,270,RC,inpatient,,139,139,,118.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,104.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,118.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,122.32,88,,percent of total billed charges,,,,,,,,,106.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,126.49,91,,percent of total billed charges,,,132.05,95,,percent of total billed charges,,,115.37,83,,percent of total billed charges,,,115.37,83,,percent of total billed charges,,,,,,,,,,,,,,,115.37,83,,percent of total billed charges,,,132.05,95,,percent of total billed charges,,,125.1,90,,percent of total billed charges,,,125.1,90,,percent of total billed charges,,,113.98,82,,percent of total billed charges,,,125.1,90,,percent of total billed charges,,,118.15,85,,percent of total billed charges,,104.81,132.05,
DRAIN JACKSON PRATT 10FR 7MM W/TROCAR,23306829,CDM,,,270,RC,inpatient,,82.88,82.88,,70.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,72.93,88,,percent of total billed charges,,,,,,,,,63.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.42,91,,percent of total billed charges,,,78.74,95,,percent of total billed charges,,,68.79,83,,percent of total billed charges,,,68.79,83,,percent of total billed charges,,,,,,,,,,,,,,,68.79,83,,percent of total billed charges,,,78.74,95,,percent of total billed charges,,,74.59,90,,percent of total billed charges,,,74.59,90,,percent of total billed charges,,,67.96,82,,percent of total billed charges,,,74.59,90,,percent of total billed charges,,,70.45,85,,percent of total billed charges,,62.49,78.74,
RESERVOIR WOUND DRAIN 400CC,23306850,CDM,,,270,RC,inpatient,,77.31,77.31,,65.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.03,88,,percent of total billed charges,,,,,,,,,59.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.35,91,,percent of total billed charges,,,73.44,95,,percent of total billed charges,,,64.17,83,,percent of total billed charges,,,64.17,83,,percent of total billed charges,,,,,,,,,,,,,,,64.17,83,,percent of total billed charges,,,73.44,95,,percent of total billed charges,,,69.58,90,,percent of total billed charges,,,69.58,90,,percent of total billed charges,,,63.39,82,,percent of total billed charges,,,69.58,90,,percent of total billed charges,,,65.71,85,,percent of total billed charges,,58.29,73.44,
DRAIN WOUND EVACUATOR 100CC,23306852,CDM,,,270,RC,inpatient,,67.12,67.12,,56.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.07,88,,percent of total billed charges,,,,,,,,,51.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.08,91,,percent of total billed charges,,,63.76,95,,percent of total billed charges,,,55.71,83,,percent of total billed charges,,,55.71,83,,percent of total billed charges,,,,,,,,,,,,,,,55.71,83,,percent of total billed charges,,,63.76,95,,percent of total billed charges,,,60.41,90,,percent of total billed charges,,,60.41,90,,percent of total billed charges,,,55.04,82,,percent of total billed charges,,,60.41,90,,percent of total billed charges,,,57.05,85,,percent of total billed charges,,50.61,63.76,
HOT PACK DISPOSABLE,23306886,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85,
* BIOPSY NEEDLE PROSTATIC DISP (V0106),23306936,CDM,,,270,RC,inpatient,,177,177,,150.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,133.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,150.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,155.76,88,,percent of total billed charges,,,,,,,,,135.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,161.07,91,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,,,,,,,,,,,,,146.91,83,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,145.14,82,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,150.45,85,,percent of total billed charges,,133.46,168.15,
DUOVISC 0.55 ML,23307015,CDM,,,270,RC,inpatient,,617.75,617.75,,524.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,465.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,525.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,543.62,88,,percent of total billed charges,,,,,,,,,471.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,562.15,91,,percent of total billed charges,,,586.86,95,,percent of total billed charges,,,512.73,83,,percent of total billed charges,,,512.73,83,,percent of total billed charges,,,,,,,,,,,,,,,512.73,83,,percent of total billed charges,,,586.86,95,,percent of total billed charges,,,555.98,90,,percent of total billed charges,,,555.98,90,,percent of total billed charges,,,506.56,82,,percent of total billed charges,,,555.98,90,,percent of total billed charges,,,525.09,85,,percent of total billed charges,,465.78,586.86,
EYE LENS IMPLANT (BAUSCH & LOMB),23307017,CDM,,,270,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63,
TRACH 5.5 UNCUFFED,23307023,CDM,,,270,RC,inpatient,,16.2,16.2,,13.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.26,88,,percent of total billed charges,,,,,,,,,12.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.74,91,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,,,,,,,,,,,,,13.45,83,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.28,82,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.77,85,,percent of total billed charges,,12.21,15.39,
* SUTURE CM830 (V0205),23307027,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1,
*PACK EYE - BAUSCH & LOMB,23307033,CDM,,,270,RC,inpatient,,34.74,34.74,,29.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.57,88,,percent of total billed charges,,,,,,,,,26.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31.61,91,,percent of total billed charges,,,33,95,,percent of total billed charges,,,28.83,83,,percent of total billed charges,,,28.83,83,,percent of total billed charges,,,,,,,,,,,,,,,28.83,83,,percent of total billed charges,,,33,95,,percent of total billed charges,,,31.27,90,,percent of total billed charges,,,31.27,90,,percent of total billed charges,,,28.49,82,,percent of total billed charges,,,31.27,90,,percent of total billed charges,,,29.53,85,,percent of total billed charges,,26.19,33,
SYNTHES DRILL BIT 2.0MM 310.19,23307055,CDM,,,270,RC,inpatient,,803.25,803.25,,681.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,605.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,682.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,706.86,88,,percent of total billed charges,,,,,,,,,613.68,76.4,,percent of total billed charges,Anesthesia